36D0883525 CLIA NUMBER - RENAL PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 36D0883525
  • Facility Name: RENAL PHYSICIANS INC
  • Facility Address: 500 LINCOLN PARK BLVD SUITE 100
    KETTERING, OH
    ZIP 45429
  • Facility Phone: 937 222-3118
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SAMPATH THIRUVEEDI
  • NPI Number: 1962486316
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0883525
LAB Type Physician Office
Facility Name RENAL PHYSICIANS INC
Street 500 LINCOLN PARK BLVD SUITE 100
City KETTERING
State OH
ZIP 45429
Phone 937 222-3118
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director SAMPATH THIRUVEEDI

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