36D1094560 CLIA NUMBER - RIVERS EDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D1094560
  • Facility Name: RIVERS EDGE DIALYSIS
  • Facility Address: 1006 E STATE ST STE B
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 592-1364
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRIAN MUSSIO
  • NPI Number: 1609012202
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1094560
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERS EDGE DIALYSIS
Street 1006 E STATE ST STE B
City ATHENS
State OH
ZIP 45701
Phone 740 592-1364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRIAN MUSSIO

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