36D0897600 CLIA NUMBER - HOME DIALYSIS OF DAYTON

Laboratory Demographics

  • CLIA Code: 36D0897600
  • Facility Name: HOME DIALYSIS OF DAYTON
  • Facility Address: 455 TURNER RD STE B
    DAYTON, OH
    ZIP 45415
  • Facility Phone: 937 260-4506
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AUGUSTUS K. EDUAFO
  • NPI Number: 1710281464
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0897600
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOME DIALYSIS OF DAYTON
Street 455 TURNER RD STE B
City DAYTON
State OH
ZIP 45415
Phone 937 260-4506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AUGUSTUS K. EDUAFO

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