36D2045106 CLIA NUMBER - FREMONT REGIONAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2045106
  • Facility Name: FREMONT REGIONAL DIALYSIS
  • Facility Address: 100 PINNACLE DRIVE
    FREMONT, OH
    ZIP 43420
  • Facility Phone: 419 332-0310
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHAUKAT RASHID
  • NPI Number: 1124380456
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2045106
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FREMONT REGIONAL DIALYSIS
Street 100 PINNACLE DRIVE
City FREMONT
State OH
ZIP 43420
Phone 419 332-0310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHAUKAT RASHID

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