36D2062677 CLIA NUMBER - APPLE VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2062677
  • Facility Name: APPLE VALLEY DIALYSIS
  • Facility Address: 1485 COSHOCTON AVE
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: (740) 392-3436
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN SCHROEDER
  • NPI Number: 1710229927
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2062677
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name APPLE VALLEY DIALYSIS
Street 1485 COSHOCTON AVE
City MOUNT VERNON
State OH
ZIP 43050
Phone 7403923436
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 KEVIN SCHROEDER

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This page was last updated on: 5/18/2026