36D2172716 CLIA NUMBER - USRC TIFFIN LLC DBA US RENAL CARE TIFFIN DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2172716
  • Facility Name: USRC TIFFIN LLC DBA US RENAL CARE TIFFIN DIALYSIS
  • Facility Address: 100 SHAFFER PARK DRIVE SUITE A
    TIFFIN, OH
    ZIP 44883
  • Facility Phone: 567 207-2030
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BENAHILI U. IBOAYA
  • NPI Number: 1912554486
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2172716
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC TIFFIN LLC DBA US RENAL CARE TIFFIN DIALYSIS
Street 100 SHAFFER PARK DRIVE SUITE A
City TIFFIN
State OH
ZIP 44883
Phone 567 207-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BENAHILI U. IBOAYA

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