36D2115484 CLIA NUMBER - WESTERN RIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2115484
  • Facility Name: WESTERN RIDGE DIALYSIS
  • Facility Address: 6909 GOOD SAMARITAN DR, STE C
    CINCINNATI, OH
    ZIP 45247
  • Facility Phone: 513 353-0237
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AMIT RAJPUT
  • NPI Number: 1881050292
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2115484
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WESTERN RIDGE DIALYSIS
Street 6909 GOOD SAMARITAN DR, STE C
City CINCINNATI
State OH
ZIP 45247
Phone 513 353-0237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AMIT RAJPUT

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