36D2055960 CLIA NUMBER - MID OHIO DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2055960
  • Facility Name: MID OHIO DIALYSIS
  • Facility Address: 2148 W 4TH ST
    ONTARIO, OH
    ZIP 44906
  • Facility Phone: 419 747-4039
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NHAN LUU
  • NPI Number: 1023360955
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2055960
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MID OHIO DIALYSIS
Street 2148 W 4TH ST
City ONTARIO
State OH
ZIP 44906
Phone 419 747-4039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NHAN LUU

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