36D1074530 CLIA NUMBER - COLUMBUS WEST DIALYSIS

Laboratory Demographics

CLIA Number: 36D1074530

Facility Name: COLUMBUS WEST DIALYSIS

Facility Address:
1395 GEORGESVILLE ROAD
COLUMBUS, OH
ZIP 43228
Get Directions

Facility Phone Number: 614 279-8495

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1891986428

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D1074530
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	COLUMBUS WEST DIALYSIS
Street	1395 GEORGESVILLE ROAD
City	COLUMBUS
State	OH
ZIP	43228
Phone	614 279-8495
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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