36D2067062 CLIA NUMBER - GALION DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2067062
  • Facility Name: GALION DIALYSIS
  • Facility Address: 865 HARDING WAY W
    GALION, OH
    ZIP 44833
  • Facility Phone: 419 462-0897
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JODI DOME
  • NPI Number: 1720414956
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2067062
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GALION DIALYSIS
Street 865 HARDING WAY W
City GALION
State OH
ZIP 44833
Phone 419 462-0897
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JODI DOME

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