36D1001810 CLIA NUMBER - ISD SUMMIT RENAL CARE LLC DBA MUNROE FALLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1001810
  • Facility Name: ISD SUMMIT RENAL CARE LLC DBA MUNROE FALLS DIALYSIS
  • Facility Address: 265 NORTH MAIN STREET
    MUNROE FALLS, OH
    ZIP 44262
  • Facility Phone: 330 689-1400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BOSHKOS MD
  • NPI Number: 1205882685
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1001810
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ISD SUMMIT RENAL CARE LLC DBA MUNROE FALLS DIALYSIS
Street 265 NORTH MAIN STREET
City MUNROE FALLS
State OH
ZIP 44262
Phone 330 689-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHRISTOPHER BOSHKOS MD

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