36D1067392 CLIA NUMBER - HILLIARD DIALYSIS

Laboratory Demographics

CLIA Number: 36D1067392

Facility Name: HILLIARD DIALYSIS

Facility Address:
19133 HILLIARD BOULEVARD
ROCKY RIVER, OH
ZIP 44116
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Facility Phone Number: 216 228-5500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801192018

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D1067392
LAB Type	Physician Office
Facility Name	HILLIARD DIALYSIS
Street	19133 HILLIARD BOULEVARD
City	ROCKY RIVER
State	OH
ZIP	44116
Phone	216 228-5500
CertificateType	4
CertificateEffectiveDate	4/17/2023
CertificateExpirationDate	4/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024