23D0980835 CLIA NUMBER - TOTAL RENAL CARE INC DBA ALPENA DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D0980835
  • Facility Name: TOTAL RENAL CARE INC DBA ALPENA DIALYSIS
  • Facility Address: 301 OXBOW DRIVE
    ALPENA, MI
    ZIP 49707
  • Facility Phone: 989 356-3128
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JUKAKU TAYEB
  • NPI Number: 1912282005
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0980835
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE INC DBA ALPENA DIALYSIS
Street 301 OXBOW DRIVE
City ALPENA
State MI
ZIP 49707
Phone 989 356-3128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JUKAKU TAYEB

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This page was last updated on: 9/29/2025