36D2157397 CLIA NUMBER - RIVERSIDE NEPHROLOGY ASSOCIATES MT VERNON

Laboratory Demographics

  • CLIA Code: 36D2157397
  • Facility Name: RIVERSIDE NEPHROLOGY ASSOCIATES MT VERNON
  • Facility Address: 1485 COSHOCTON AVENUE
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: 614 538-2250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH RAVE
  • NPI Number: 1942478110
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2157397
LAB Type Physician Office
Facility Name RIVERSIDE NEPHROLOGY ASSOCIATES MT VERNON
Street 1485 COSHOCTON AVENUE
City MOUNT VERNON
State OH
ZIP 43050
Phone 614 538-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director ELIZABETH RAVE

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