36D2193076 CLIA NUMBER - CONCERTO OHIO LLC

Laboratory Demographics

  • CLIA Code: 36D2193076
  • Facility Name: CONCERTO OHIO LLC
  • Facility Address: 10330 SAWMILL PARKWAY, SUITE 475
    POWELL, OH
    ZIP 43065
  • Facility Phone: 847 443-1228
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW LAZER
  • NPI Number: 1245854876
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2193076
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CONCERTO OHIO LLC
Street 10330 SAWMILL PARKWAY, SUITE 475
City POWELL
State OH
ZIP 43065
Phone 847 443-1228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANDREW LAZER

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