23D2137766 CLIA NUMBER - BELLEVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2137766
  • Facility Name: BELLEVILLE DIALYSIS
  • Facility Address: 10850 BELLEVILLE RD
    BELLEVILLE, MI
    ZIP 48111
  • Facility Phone: 734 697-7604
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHILAKAPATI VIJAYAKUMAR
  • NPI Number: 1053831321
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2137766
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BELLEVILLE DIALYSIS
Street 10850 BELLEVILLE RD
City BELLEVILLE
State MI
ZIP 48111
Phone 734 697-7604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHILAKAPATI VIJAYAKUMAR

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