36D2106046 CLIA NUMBER - ADVANCED NEPHROLOGY & HYPERTENSION

Laboratory Demographics

  • CLIA Code: 36D2106046
  • Facility Name: ADVANCED NEPHROLOGY & HYPERTENSION
  • Facility Address: 2205 N LIMESTONE ST
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 390-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJU A. VARGHESE
  • NPI Number: 1780069567
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2106046
LAB Type Physician Office
Facility Name ADVANCED NEPHROLOGY & HYPERTENSION
Street 2205 N LIMESTONE ST
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 390-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director SANJU A. VARGHESE

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