23D1043626 CLIA NUMBER - LIBERTY DIALYSIS LAKELAND LLC DBA LIBERTY DIALYSIS AT LAKELAND NILES

Laboratory Demographics

  • CLIA Code: 23D1043626
  • Facility Name: LIBERTY DIALYSIS LAKELAND LLC DBA LIBERTY DIALYSIS AT LAKELAND NILES
  • Facility Address: 8 LONGMEADOW VILLAGE DR
    NILES, MI
    ZIP 49120
  • Facility Phone: 269 684-0116
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GARY W. SCHER
  • NPI Number: 1629372628
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1043626
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS LAKELAND LLC DBA LIBERTY DIALYSIS AT LAKELAND NILES
Street 8 LONGMEADOW VILLAGE DR
City NILES
State MI
ZIP 49120
Phone 269 684-0116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GARY W. SCHER

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