23D2108093 CLIA NUMBER - FASHION SQUARE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2108093
  • Facility Name: FASHION SQUARE DIALYSIS
  • Facility Address: 5641 BAY ROAD
    SAGINAW, MI
    ZIP 48604
  • Facility Phone: 615 341-6657
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AHMAD WASEEF
  • NPI Number: 1184080194
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2108093
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FASHION SQUARE DIALYSIS
Street 5641 BAY ROAD
City SAGINAW
State MI
ZIP 48604
Phone 615 341-6657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AHMAD WASEEF

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