36D2022011 CLIA NUMBER - CENTER FOR DIALYSIS CARE PAINESVILLE

Laboratory Demographics

  • CLIA Code: 36D2022011
  • Facility Name: CENTER FOR DIALYSIS CARE PAINESVILLE
  • Facility Address: 1233 MENTOR AVENUE
    PAINESVILLE, OH
    ZIP 44077
  • Facility Phone: 440 357-9262
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABDULMUHSSEN ALISTWANI
  • NPI Number: 1770882599
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2022011
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTER FOR DIALYSIS CARE PAINESVILLE
Street 1233 MENTOR AVENUE
City PAINESVILLE
State OH
ZIP 44077
Phone 440 357-9262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABDULMUHSSEN ALISTWANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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