36D2157342 CLIA NUMBER - STARR DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2157342
  • Facility Name: STARR DIALYSIS
  • Facility Address: 403 EAST BROADWAY STREET
    TOLEDO, OH
    ZIP 43605
  • Facility Phone: 419 691-3227
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMAD HATAHET
  • NPI Number: 1023591237
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2157342
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name STARR DIALYSIS
Street 403 EAST BROADWAY STREET
City TOLEDO
State OH
ZIP 43605
Phone 419 691-3227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMAD HATAHET

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