36D2038986 CLIA NUMBER - MIAMISBURG DIALYSIS

Home > CLIA Lookup > 36D2038986

Laboratory Demographics

CLIA Number: 36D2038986

Facility Name: MIAMISBURG DIALYSIS

Facility Address:
290 ALEXANDERSVILLE ROAD
MIAMISBURG, OH
ZIP 45342
Get Directions

Facility Phone Number: 937 865-0633

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1780772426

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	36D2038986
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MIAMISBURG DIALYSIS
Street	290 ALEXANDERSVILLE ROAD
City	MIAMISBURG
State	OH
ZIP	45342
Phone	937 865-0633
CertificateType	4
CertificateEffectiveDate	3/29/2024
CertificateExpirationDate	3/28/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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