36D2152275 CLIA NUMBER - NAVARRE DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2152275
  • Facility Name: NAVARRE DIALYSIS
  • Facility Address: 517 PARK ST NW, SUITE A
    NAVARRE, OH
    ZIP 44662
  • Facility Phone: 330 791-7791
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. DEGENHARD
  • NPI Number: 1134615651
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2152275
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NAVARRE DIALYSIS
Street 517 PARK ST NW, SUITE A
City NAVARRE
State OH
ZIP 44662
Phone 330 791-7791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTHONY J. DEGENHARD

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