36D1090942 CLIA NUMBER - OHIO PIKE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1090942
  • Facility Name: OHIO PIKE DIALYSIS
  • Facility Address: 1761 STATE ROUTE 125
    AMELIA, OH
    ZIP 45102
  • Facility Phone: 513 797-0713
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GREGORY STEPHENS MD
  • NPI Number: 1386849842
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D1090942
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OHIO PIKE DIALYSIS
Street 1761 STATE ROUTE 125
City AMELIA
State OH
ZIP 45102
Phone 513 797-0713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GREGORY STEPHENS MD

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