36D1104017 CLIA NUMBER - WARREN DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 36D1104017
  • Facility Name: WARREN DIALYSIS CENTER, LLC
  • Facility Address: 8720 EAST MARKET STREET SUITE 1A
    WARREN, OH
    ZIP 44484
  • Facility Phone: (330) 609-5502
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALI HASSAN
  • NPI Number: 1679712814
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1104017
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WARREN DIALYSIS CENTER, LLC
Street 8720 EAST MARKET STREET SUITE 1A
City WARREN
State OH
ZIP 44484
Phone 3306095502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALI HASSAN

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This page was last updated on: 5/18/2026