36D2164971 CLIA NUMBER - NATIONAL ROAD DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2164971
  • Facility Name: NATIONAL ROAD DIALYSIS
  • Facility Address: 703 MAIN STREET
    BRIDGEPORT, OH
    ZIP 43912
  • Facility Phone: 740 633-1903
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARNIE MARKER
  • NPI Number: 1205396744
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2164971
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NATIONAL ROAD DIALYSIS
Street 703 MAIN STREET
City BRIDGEPORT
State OH
ZIP 43912
Phone 740 633-1903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARNIE MARKER

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