36D2045582 CLIA NUMBER - AUBURN ROAD DIALYSIS

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Laboratory Demographics

CLIA Number: 36D2045582

Facility Name: AUBURN ROAD DIALYSIS

Facility Address:
7611 AUBURN ROAD
PAINESVILLE, OH
ZIP 44077
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Facility Phone Number: 440 354-4609

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033474515

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2045582
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	AUBURN ROAD DIALYSIS
Street	7611 AUBURN ROAD
City	PAINESVILLE
State	OH
ZIP	44077
Phone	440 354-4609
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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