36D0957697 CLIA NUMBER - SOUTHLAND DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D0957697
  • Facility Name: SOUTHLAND DIALYSIS
  • Facility Address: 3401 GLENDALE SUITE 110
    TOLEDO, OH
    ZIP 43614
  • Facility Phone: 419 389-9681
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DEEPAK MALHOTRA
  • NPI Number: 1679906325
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0957697
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHLAND DIALYSIS
Street 3401 GLENDALE SUITE 110
City TOLEDO
State OH
ZIP 43614
Phone 419 389-9681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DEEPAK MALHOTRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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