36D0930028 CLIA NUMBER - CENTER FOR DIALYSIS CARE CLEVELAND WEST

Laboratory Demographics

  • CLIA Code: 36D0930028
  • Facility Name: CENTER FOR DIALYSIS CARE CLEVELAND WEST
  • Facility Address: 3330 WEST 25TH STREET
    CLEVELAND, OH
    ZIP 44109
  • Facility Phone: 216 741-5776
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KHALDOON SHAHEEN
  • NPI Number: 1568559128
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0930028
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTER FOR DIALYSIS CARE CLEVELAND WEST
Street 3330 WEST 25TH STREET
City CLEVELAND
State OH
ZIP 44109
Phone 216 741-5776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KHALDOON SHAHEEN

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