36D2105645 CLIA NUMBER - RAVENNA DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2105645
  • Facility Name: RAVENNA DIALYSIS
  • Facility Address: 600 ENTERPRISE PKWY
    RAVENNA, OH
    ZIP 44266
  • Facility Phone: 330 297-5846
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BASHAR ALALAO
  • NPI Number: 1902270721
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2105645
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RAVENNA DIALYSIS
Street 600 ENTERPRISE PKWY
City RAVENNA
State OH
ZIP 44266
Phone 330 297-5846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BASHAR ALALAO

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