36D1068827 CLIA NUMBER - EASTGATE HOME TRAINING

Laboratory Demographics

  • CLIA Code: 36D1068827
  • Facility Name: EASTGATE HOME TRAINING
  • Facility Address: 4435 AICHOLTZ ROAD SUITE 800B
    CINCINNATI, OH
    ZIP 45245
  • Facility Phone: 513 752-8301
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAUD BUTT
  • NPI Number: 1588787352
  • Taxonomy: 261QD0000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1068827
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EASTGATE HOME TRAINING
Street 4435 AICHOLTZ ROAD SUITE 800B
City CINCINNATI
State OH
ZIP 45245
Phone 513 752-8301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAUD BUTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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