23D2103753 CLIA NUMBER - EAST CHINA DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2103753
  • Facility Name: EAST CHINA DIALYSIS
  • Facility Address: 4180 HOSPITAL DRIVE
    EAST CHINA, MI
    ZIP 48054
  • Facility Phone: 810 326-0032
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JUKAKU TAYEB
  • NPI Number: 1871979492
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2103753
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST CHINA DIALYSIS
Street 4180 HOSPITAL DRIVE
City EAST CHINA
State MI
ZIP 48054
Phone 810 326-0032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JUKAKU TAYEB

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