23D1077565 CLIA NUMBER - TOTAL RENAL CARE INC DBA GLADWIN DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D1077565
  • Facility Name: TOTAL RENAL CARE INC DBA GLADWIN DIALYSIS
  • Facility Address: 673 QUARTER STREET
    GLADWIN, MI
    ZIP 48624
  • Facility Phone: 989 246-6440
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADEEL KHAN
  • NPI Number: 1629353875
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1077565
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE INC DBA GLADWIN DIALYSIS
Street 673 QUARTER STREET
City GLADWIN
State MI
ZIP 48624
Phone 989 246-6440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADEEL KHAN

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