36D2084903 CLIA NUMBER - HEART OF MARION DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2084903
  • Facility Name: HEART OF MARION DIALYSIS
  • Facility Address: 1221 DELAWARE AVE
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 375-0849
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TAMEEM S. KAKA
  • NPI Number: 1942602206
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2084903
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HEART OF MARION DIALYSIS
Street 1221 DELAWARE AVE
City MARION
State OH
ZIP 43302
Phone 740 375-0849
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 TAMEEM S. KAKA

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