36D2062675 CLIA NUMBER - MEADOWHAWK DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2062675
  • Facility Name: MEADOWHAWK DIALYSIS
  • Facility Address: 491 COLEMANS XING
    MARYSVILLE, OH
    ZIP 43040
  • Facility Phone: 937 642-0676
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HENRY LEE WEHRUM
  • NPI Number: 1821433582
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2062675
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MEADOWHAWK DIALYSIS
Street 491 COLEMANS XING
City MARYSVILLE
State OH
ZIP 43040
Phone 937 642-0676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HENRY LEE WEHRUM

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