36D1005602 CLIA NUMBER - KIDNEY CENTER OF COLUMBUS EAST

Laboratory Demographics

  • CLIA Code: 36D1005602
  • Facility Name: KIDNEY CENTER OF COLUMBUS EAST
  • Facility Address: 1805 EAST MAIN STREET
    COLUMBUS, OH
    ZIP 43205
  • Facility Phone: 614 253-3300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WESLEY V. FORGUE MD
  • NPI Number: 1730190844
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1005602
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KIDNEY CENTER OF COLUMBUS EAST
Street 1805 EAST MAIN STREET
City COLUMBUS
State OH
ZIP 43205
Phone 614 253-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WESLEY V. FORGUE MD

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