36D2047724 CLIA NUMBER - OHIO RENAL CARE GROUP LLC DBA MENTOR DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2047724
  • Facility Name: OHIO RENAL CARE GROUP LLC DBA MENTOR DIALYSIS
  • Facility Address: 8840 TYLER BLVD ATTN BRANDY
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 974-3459
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAGMEET S. DHINGRA
  • NPI Number: 1679821359
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2047724
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OHIO RENAL CARE GROUP LLC DBA MENTOR DIALYSIS
Street 8840 TYLER BLVD ATTN BRANDY
City MENTOR
State OH
ZIP 44060
Phone 440 974-3459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAGMEET S. DHINGRA

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