36D2137026 CLIA NUMBER - LIMA MEMORIAL KIDNEY SPECIALISTS

Laboratory Demographics

CLIA Number: 36D2137026

Facility Name: LIMA MEMORIAL KIDNEY SPECIALISTS

Facility Address:
915 MICHIGAN ST, SUITE 203
SIDNEY, OH
ZIP 45365
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Facility Phone Number: 419 998-4741

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1104190578

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	36D2137026
LAB Type	Physician Office
Facility Name	LIMA MEMORIAL KIDNEY SPECIALISTS
Street	915 MICHIGAN ST, SUITE 203
City	SIDNEY
State	OH
ZIP	45365
Phone	419 998-4741
CertificateType	3
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024