36D2133459 CLIA NUMBER - CANTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2133459
  • Facility Name: CANTON DIALYSIS
  • Facility Address: 2912 W TUSCARAWAS ST
    CANTON, OH
    ZIP 44708
  • Facility Phone: 330 458-0150
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN K. KELLEY
  • NPI Number: 1629596267
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2133459
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CANTON DIALYSIS
Street 2912 W TUSCARAWAS ST
City CANTON
State OH
ZIP 44708
Phone 330 458-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEVIN K. KELLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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