36D0995938 CLIA NUMBER - MID-AMERICA DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D0995938
  • Facility Name: MID-AMERICA DIALYSIS
  • Facility Address: 2355 SOUTH HAMILTON ROAD
    COLUMBUS, OH
    ZIP 43232
  • Facility Phone: 614 367-1679
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TEFERI G. MENGESHA
  • NPI Number: 1194834903
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0995938
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MID-AMERICA DIALYSIS
Street 2355 SOUTH HAMILTON ROAD
City COLUMBUS
State OH
ZIP 43232
Phone 614 367-1679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TEFERI G. MENGESHA

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