23D2066124 CLIA NUMBER - BAD AXE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2066124
  • Facility Name: BAD AXE DIALYSIS
  • Facility Address: 897 N VAN DYKE ROAD SUITE A
    BAD AXE, MI
    ZIP 48413
  • Facility Phone: 989 269-7657
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS MARCHENA
  • NPI Number: 1245572981
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2066124
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAD AXE DIALYSIS
Street 897 N VAN DYKE ROAD SUITE A
City BAD AXE
State MI
ZIP 48413
Phone 989 269-7657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARLOS MARCHENA

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