36D2015914 CLIA NUMBER - YOUNGSTOWN-WARREN HOME DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 36D2015914
  • Facility Name: YOUNGSTOWN-WARREN HOME DIALYSIS LLC
  • Facility Address: 4531 BELMONT AVENUE
    YOUNGSTOWN, OH
    ZIP 44505
  • Facility Phone: 330 759-3485
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL BARTON
  • NPI Number: 1558488627
  • Taxonomy: 171WH0202X - Contractor

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CLIA Record

Field Name Field Value
CLIA Number 36D2015914
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name YOUNGSTOWN-WARREN HOME DIALYSIS LLC
Street 4531 BELMONT AVENUE
City YOUNGSTOWN
State OH
ZIP 44505
Phone 330 759-3485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DANIEL BARTON

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