36D2127758 CLIA NUMBER - BOETTLER DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2127758
  • Facility Name: BOETTLER DIALYSIS
  • Facility Address: 1587 BOETTLER RD, STE 130
    UNIONTOWN, OH
    ZIP 44685
  • Facility Phone: 330 899-0035
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARINA P. GAYOMALI
  • NPI Number: 1245778372
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2127758
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BOETTLER DIALYSIS
Street 1587 BOETTLER RD, STE 130
City UNIONTOWN
State OH
ZIP 44685
Phone 330 899-0035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARINA P. GAYOMALI

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