36D1080823 CLIA NUMBER - MIDWEST URBANA DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1080823
  • Facility Name: MIDWEST URBANA DIALYSIS
  • Facility Address: 1430 EAST US HIGHWAY 36 SUITE A
    URBANA, OH
    ZIP 43078
  • Facility Phone: 937 328-8921
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: M AHSAN ULLAH
  • NPI Number: 1831415918
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1080823
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MIDWEST URBANA DIALYSIS
Street 1430 EAST US HIGHWAY 36 SUITE A
City URBANA
State OH
ZIP 43078
Phone 937 328-8921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director M AHSAN ULLAH

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