CLIA lab
CLIA 36D1104015: Boardman Dialysis Center LLC
Boardman, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1104015 belongs to Boardman Dialysis Center LLC in Boardman, OH.
Certificate of Waiver, effective August 24, 2025, expires August 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 24, 2025
- Certificate expiration
- August 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2009
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D1104015
- Lab name
- Boardman Dialysis Center LLC
- Address
- 7153 Tiffany Boulevard, Boardman, OH 44512
- Phone
- (330) 729-1355
- Fax
- (330) 729-1377
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Boardman Dialysis Center LLC in Boardman?
36D1104015, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boardman Dialysis Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1104015 expire?
The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.