23D1069682 CLIA NUMBER - IONIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D1069682
  • Facility Name: IONIA DIALYSIS
  • Facility Address: 2622 HEARTLAND BLVD
    IONIA, MI
    ZIP 48846
  • Facility Phone: 616 522-0265
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD TINAWI
  • NPI Number: 1578684452
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1069682
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name IONIA DIALYSIS
Street 2622 HEARTLAND BLVD
City IONIA
State MI
ZIP 48846
Phone 616 522-0265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD TINAWI

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