36D0994574 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 36D0994574
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 1207 17TH STREET FIRST FLOOR
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 351-0666
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RONALD E. BOWMAN
  • NPI Number: 1487687877
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0994574
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 1207 17TH STREET FIRST FLOOR
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 351-0666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RONALD E. BOWMAN

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