36D1067143 CLIA NUMBER - WAUSEON DIALYSIS LLC DBA WAUSEON DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 36D1067143
  • Facility Name: WAUSEON DIALYSIS LLC DBA WAUSEON DIALYSIS CENTER
  • Facility Address: 721 SOUTH SHOOP AVENUE
    WAUSEON, OH
    ZIP 43567
  • Facility Phone: 419 335-0695
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ZAFAR MAGSI MD
  • NPI Number: 1306010228
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1067143
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WAUSEON DIALYSIS LLC DBA WAUSEON DIALYSIS CENTER
Street 721 SOUTH SHOOP AVENUE
City WAUSEON
State OH
ZIP 43567
Phone 419 335-0695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ZAFAR MAGSI MD

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