36D2019921 CLIA NUMBER - HOME DIALYSIS OF DAYTON SOUTH

Laboratory Demographics

  • CLIA Code: 36D2019921
  • Facility Name: HOME DIALYSIS OF DAYTON SOUTH
  • Facility Address: 3030 S DIXIE DR
    KETTERING, OH
    ZIP 45409
  • Facility Phone: 937 294-6030
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAMPATH THIRUVEEDI
  • NPI Number: 1497059471
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2019921
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOME DIALYSIS OF DAYTON SOUTH
Street 3030 S DIXIE DR
City KETTERING
State OH
ZIP 45409
Phone 937 294-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAMPATH THIRUVEEDI

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