36D0962639 CLIA NUMBER - ISD SUMMIT RENAL CARE, LLC DBA WHITE PONDS DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D0962639
  • Facility Name: ISD SUMMIT RENAL CARE, LLC DBA WHITE PONDS DIALYSIS
  • Facility Address: 791 WHITE POND DRIVE
    AKRON, OH
    ZIP 44320
  • Facility Phone: 330 835-9083
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN RAY
  • NPI Number: 1174579775
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0962639
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ISD SUMMIT RENAL CARE, LLC DBA WHITE PONDS DIALYSIS
Street 791 WHITE POND DRIVE
City AKRON
State OH
ZIP 44320
Phone 330 835-9083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUSAN RAY

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