36D0945897 CLIA NUMBER - RENAL CARE GROUP-SIDNEY

Laboratory Demographics

  • CLIA Code: 36D0945897
  • Facility Name: RENAL CARE GROUP-SIDNEY
  • Facility Address: 1015 FAIR ROAD
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 498-0040
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JONAH O. UKIWE
  • NPI Number: 1528128923
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0945897
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP-SIDNEY
Street 1015 FAIR ROAD
City SIDNEY
State OH
ZIP 45365
Phone 937 498-0040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JONAH O. UKIWE

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