23D1042942 CLIA NUMBER - TOTAL RENAL CARE INC DBA GREENVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D1042942
  • Facility Name: TOTAL RENAL CARE INC DBA GREENVILLE DIALYSIS
  • Facility Address: 101 SOUTH GREENVILLE WEST DRIVE
    GREENVILLE, MI
    ZIP 48838
  • Facility Phone: (616) 225-9500
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSE E. FUENTE
  • NPI Number: 1649555897
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1042942
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE INC DBA GREENVILLE DIALYSIS
Street 101 SOUTH GREENVILLE WEST DRIVE
City GREENVILLE
State MI
ZIP 48838
Phone 6162259500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOSE E. FUENTE

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This page was last updated on: 5/18/2026