36D0887425 CLIA NUMBER - RENAL CARE GROUP LORAIN COUNTY (DANO)

Laboratory Demographics

CLIA Number: 36D0887425

Facility Name: RENAL CARE GROUP LORAIN COUNTY (DANO)

Facility Address:
1050 NORTH ABBE ROAD
ELYRIA, OH
ZIP 44035
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Facility Phone Number: 440 366-1975

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1831204684

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0887425
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CARE GROUP LORAIN COUNTY (DANO)
Street	1050 NORTH ABBE ROAD
City	ELYRIA
State	OH
ZIP	44035
Phone	440 366-1975
CertificateType	4
CertificateEffectiveDate	6/13/2022
CertificateExpirationDate	6/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024