36D2084901 CLIA NUMBER - RIDGE PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2084901
  • Facility Name: RIDGE PARK DIALYSIS
  • Facility Address: 4805 PEARL RD
    CLEVELAND, OH
    ZIP 44109
  • Facility Phone: 216 398-6029
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANCA VLASIE
  • NPI Number: 1407256092
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2084901
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIDGE PARK DIALYSIS
Street 4805 PEARL RD
City CLEVELAND
State OH
ZIP 44109
Phone 216 398-6029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANCA VLASIE

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