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STATE FAIR DIALYSIS CENTER
NPI 1538265335
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Detroit, MI

Active since September 16, 2006CLIA 23D2016752 · Waiver
19800 WOODWARD AVE, DETROIT, MI 48203(313) 893-8610 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About State Fair Dialysis Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE FAIR DIALYSIS CENTER (NPI 1538265335) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Detroit, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Rachel Donaldson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538265335
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameAFTON NEPHROLOGY ASSOCIATES
Location Address19800 WOODWARD AVEDetroit, MI 48203-5102
Mailing Address19800 Woodward AveDetroit, MI 48203-5102 · (313) 893-8610
Phone(313) 893-8610
Organization SubpartNo
Authorized OfficialRachel DonaldsonCeo · (313) 893-8610
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1538265335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in MI · 4301406139
19800 WOODWARD AVE, Detroit, MI 48203
Open in Google Maps ↗

Other Names 1

Doing Business AsState Fair Dialysis Center

Other Identifiers 8

Other08999MI · Bcbs
Medicare UPINE77775MI
OtherD9411MI · Bcbs
Medicare ID-Type Unspecified232578MI
Other9367MI · Cape Health Plan
Other14040MI · Mcare
Other49441MI · Omnicare
Other08999MI · Bcn

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2016752

State Fair Dialysis · Detroit, MI
Active · expires Nov 23, 2026
CLIA Number23D2016752
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorXiaoping Huang
Laboratory Phone(313) 893-8610
Laboratory LocationState Fair Dialysis19800 Woodward Ave, Detroit, MI 48203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL DONALDSON M.D.
Internal Medicine (Nephrology)
19800 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 893-8610
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
19800 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 893-8610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Afton Nephrology Associates's NPI number?

The NPI number for Afton Nephrology Associates is 1538265335. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as State Fair Dialysis Center.

Where is Afton Nephrology Associates located?

Afton Nephrology Associates is located at 19800 Woodward Ave, Detroit, MI 48203. The listed phone number is (313) 893-8610.

What is Afton Nephrology Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Afton Nephrology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2016752) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Afton Nephrology Associates was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.