36D0982984 CLIA NUMBER - BELMONT DIALYSIS

Laboratory Demographics

CLIA Number: 36D0982984

Facility Name: BELMONT DIALYSIS

Facility Address:
68639 BANNOCK ROAD
ST CLAIRSVILLE, OH
ZIP 43950
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Facility Phone Number: 740 699-0220

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1285630590

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D0982984
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BELMONT DIALYSIS
Street	68639 BANNOCK ROAD
City	ST CLAIRSVILLE
State	OH
ZIP	43950
Phone	740 699-0220
CertificateType	4
CertificateEffectiveDate	2/12/2023
CertificateExpirationDate	2/11/2025
FacilityType	Waiver

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