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36D0960783 CLIA NUMBER - RICHLAND COUNTY KIDNEY CENTER

Laboratory Demographics

CLIA Number: 36D0960783

Facility Name: RICHLAND COUNTY KIDNEY CENTER

Facility Address:
680 BALLY ROW
MANSFIELD, OH
ZIP 44906
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Facility Phone Number: 419 774-0180

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1790263184

Taxonomy: 251B00000X - Case Management
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

CLIA Record

Field Name Field Value
CLIA Number 36D0960783
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RICHLAND COUNTY KIDNEY CENTER
Street 680 BALLY ROW
City MANSFIELD
State OH
ZIP 44906
Phone 419 774-0180
CertificateType 4
CertificateEffectiveDate 5/20/2023
CertificateExpirationDate 5/19/2025
FacilityType Waiver

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