36D2027062 CLIA NUMBER - STEUBENVILLE DIALYSIS

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Laboratory Demographics

CLIA Number: 36D2027062

Facility Name: STEUBENVILLE DIALYSIS

Facility Address:
1799 SINCLAIR AVE STE 1
STEUBENVILLE, OH
ZIP 43953
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Facility Phone Number: 740 264-8172

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1538170170

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	36D2027062
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	STEUBENVILLE DIALYSIS
Street	1799 SINCLAIR AVE STE 1
City	STEUBENVILLE
State	OH
ZIP	43953
Phone	740 264-8172
CertificateType	4
CertificateEffectiveDate	7/15/2023
CertificateExpirationDate	7/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024