36D2004635 CLIA NUMBER - AMHERST DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2004635
  • Facility Name: AMHERST DIALYSIS
  • Facility Address: 3200 COOPER FOSTER ROAD WEST
    LORAIN, OH
    ZIP 44053
  • Facility Phone: 440 989-1410
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAURABH BANSAL
  • NPI Number: 1982934139
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2004635
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AMHERST DIALYSIS
Street 3200 COOPER FOSTER ROAD WEST
City LORAIN
State OH
ZIP 44053
Phone 440 989-1410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAURABH BANSAL

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