36D1044781 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 36D1044781
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 65 COMMERCE DRIVE
    SEAMAN, OH
    ZIP 45679
  • Facility Phone: 937 386-0818
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA KROTCHEN
  • NPI Number: 1689607160
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1044781
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 65 COMMERCE DRIVE
City SEAMAN
State OH
ZIP 45679
Phone 937 386-0818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JESSICA KROTCHEN

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