36D1078879 CLIA NUMBER - ROCKSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1078879
  • Facility Name: ROCKSIDE DIALYSIS
  • Facility Address: 4801 ACORN DRIVE
    INDEPENDENCE, OH
    ZIP 44131
  • Facility Phone: 216 525-0990
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ORLANDO E. RODRIGUEZ MD
  • NPI Number: 1851903785
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 36D1078879
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROCKSIDE DIALYSIS
Street 4801 ACORN DRIVE
City INDEPENDENCE
State OH
ZIP 44131
Phone 216 525-0990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ORLANDO E. RODRIGUEZ MD

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