36D1100865 CLIA NUMBER - OHIO RENAL CARE GROUP LLC DBA FRESENIUS MEDICAL CARE WADSWORTH

Laboratory Demographics

  • CLIA Code: 36D1100865
  • Facility Name: OHIO RENAL CARE GROUP LLC DBA FRESENIUS MEDICAL CARE WADSWORTH
  • Facility Address: 1160 WILLIAMS RESERVE BLVD
    WADSWORTH, OH
    ZIP 44281
  • Facility Phone: 330 336-8070
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAYAPRAKASH DASARI
  • NPI Number: 1962656470
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1100865
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OHIO RENAL CARE GROUP LLC DBA FRESENIUS MEDICAL CARE WADSWORTH
Street 1160 WILLIAMS RESERVE BLVD
City WADSWORTH
State OH
ZIP 44281
Phone 330 336-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAYAPRAKASH DASARI

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