36D1086178 CLIA NUMBER - US GRANT DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1086178
  • Facility Name: US GRANT DIALYSIS
  • Facility Address: 458 HOME STREET
    GEORGETOWN, OH
    ZIP 45121
  • Facility Phone: 937 378-1323
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAUD E. BUTT
  • NPI Number: 1154597649
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1086178
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US GRANT DIALYSIS
Street 458 HOME STREET
City GEORGETOWN
State OH
ZIP 45121
Phone 937 378-1323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAUD E. BUTT

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