36D2035620 CLIA NUMBER - PARK SIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2035620
  • Facility Name: PARK SIDE DIALYSIS
  • Facility Address: 241 WEST SCHROCK ROAD
    WESTERVILLE, OH
    ZIP 43081
  • Facility Phone: 614 882-1734
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RUBA W. NIJMEH
  • NPI Number: 1053689216
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2035620
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PARK SIDE DIALYSIS
Street 241 WEST SCHROCK ROAD
City WESTERVILLE
State OH
ZIP 43081
Phone 614 882-1734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RUBA W. NIJMEH

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