36D2041988 CLIA NUMBER - KINGSVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2041988
  • Facility Name: KINGSVILLE DIALYSIS
  • Facility Address: 5740 DIBBLE ROAD
    KINGSVILLE, OH
    ZIP 44048
  • Facility Phone: (440) 224-1338
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AZIZ BAKHOUS

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CLIA Record

Field Name Field Value
CLIA Number 36D2041988
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KINGSVILLE DIALYSIS
Street 5740 DIBBLE ROAD
City KINGSVILLE
State OH
ZIP 44048
Phone 4402241338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2026
Certificate Expiration Date 6/3/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AZIZ BAKHOUS

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This page was last updated on: 5/18/2026