36D1018098 CLIA NUMBER - SOUTHWEST OHIO DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1018098
  • Facility Name: SOUTHWEST OHIO DIALYSIS
  • Facility Address: 215 SOUTH ALLISON AVENUE
    XENIA, OH
    ZIP 45385
  • Facility Phone: 253 272-1916
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IBRAHIM AHMAD
  • NPI Number: 1902885361
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 36D1018098
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHWEST OHIO DIALYSIS
Street 215 SOUTH ALLISON AVENUE
City XENIA
State OH
ZIP 45385
Phone 253 272-1916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IBRAHIM AHMAD

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