36D2178707 CLIA NUMBER - QUEEN CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 36D2178707
  • Facility Name: QUEEN CITY DIALYSIS
  • Facility Address: 2290 FERGUSON RD
    CINCINNATI, OH
    ZIP 45238
  • Facility Phone: 513 347-3626
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: R GEOFFREY MOTZ
  • NPI Number: 1164910907
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2178707
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name QUEEN CITY DIALYSIS
Street 2290 FERGUSON RD
City CINCINNATI
State OH
ZIP 45238
Phone 513 347-3626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director R GEOFFREY MOTZ

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