36D2116860 CLIA NUMBER - FALLEN TIMBERS DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2116860
  • Facility Name: FALLEN TIMBERS DIALYSIS
  • Facility Address: 4330 KEYSTONE DR
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 887-0762
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN O. RANKER
  • NPI Number: 1760463996
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2116860
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FALLEN TIMBERS DIALYSIS
Street 4330 KEYSTONE DR
City MAUMEE
State OH
ZIP 43537
Phone 419 887-0762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN O. RANKER

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