36D0885885 CLIA NUMBER - WRIGHT FIELD DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D0885885
  • Facility Name: WRIGHT FIELD DIALYSIS
  • Facility Address: 1431 BUSINESS CENTER COURT
    DAYTON, OH
    ZIP 45410
  • Facility Phone: 937 252-1867
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SIVA AMBALAVANAN
  • NPI Number: 1467804294
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0885885
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WRIGHT FIELD DIALYSIS
Street 1431 BUSINESS CENTER COURT
City DAYTON
State OH
ZIP 45410
Phone 937 252-1867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SIVA AMBALAVANAN

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