36D2082176 CLIA NUMBER - WEST HAMILTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2082176
  • Facility Name: WEST HAMILTON DIALYSIS
  • Facility Address: 1532 MAIN ST
    HAMILTON, OH
    ZIP 45013
  • Facility Phone: 513 737-0158
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AMR MOUSSA
  • NPI Number: 1184038903
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2082176
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST HAMILTON DIALYSIS
Street 1532 MAIN ST
City HAMILTON
State OH
ZIP 45013
Phone 513 737-0158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AMR MOUSSA

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