36D2088065 CLIA NUMBER - HUBER HEIGHTS DIALYSIS

Laboratory Demographics

CLIA Number: 36D2088065

Facility Name: HUBER HEIGHTS DIALYSIS

Facility Address:
7769 OLD COUNTRY CT
HUBER HEIGHTS, OH
ZIP 45424
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Facility Phone Number: 937 237-0769

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1508949231

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 36D2088065
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HUBER HEIGHTS DIALYSIS
Street 7769 OLD COUNTRY CT
City HUBER HEIGHTS
State OH
ZIP 45424
Phone 937 237-0769
CertificateType 4
CertificateEffectiveDate 12/10/2022
CertificateExpirationDate 12/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024