36D1056801 CLIA NUMBER - KETTERING DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1056801
  • Facility Name: KETTERING DIALYSIS
  • Facility Address: 5721 BIGGER ROAD
    KETTERING, OH
    ZIP 45440
  • Facility Phone: 937 435-4030
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARTHUR TSAI
  • NPI Number: 1649215351
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1056801
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KETTERING DIALYSIS
Street 5721 BIGGER ROAD
City KETTERING
State OH
ZIP 45440
Phone 937 435-4030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARTHUR TSAI

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