52D1082402 CLIA NUMBER - AMERY DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D1082402
  • Facility Name: AMERY DIALYSIS
  • Facility Address: 970 ELDON AVE
    AMERY, WI
    ZIP 54001
  • Facility Phone: 715 268-4288
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHOKCHAI CHAREANDEE, MD
  • NPI Number: 1750554333
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1082402
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AMERY DIALYSIS
Street 970 ELDON AVE
City AMERY
State WI
ZIP 54001
Phone 715 268-4288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHOKCHAI CHAREANDEE, MD

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