PREMIERE KIDNEY CENTER OF NEWARK
NPI 1831487313
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newark, OH

Active since July 18, 2011CLIA 36D1092692 · Waiver
4/5
Overall Rating
65 S TERRACE AVE, NEWARK, OH 43055(740) 522-2955(740) 522-2975 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2023, Aug 4, 2021, Jul 13, 2021 and 1 more (4 updates tracked since 2020).

About Premiere Kidney Center Of Newark NPPES

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

PREMIERE KIDNEY CENTER OF NEWARK (NPI 1831487313) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newark, Ohio and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1831487313
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLORY DIALYSIS LLC
Location Address65 S TERRACE AVENewark, OH 43055-1355
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3051 · Fax (800) 246-8346
Fax(740) 522-2975
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJuly 18, 2011
Last NPPES UpdateDecember 21, 20234 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
NPI 1831487313 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
65 S TERRACE AVE, Newark, OH 43055

Other Names 1

Doing Business AsPremiere Kidney Center Of Newark

Other Identifiers 1

Medicaid0057201OH

Accepted Insurance

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 36D1092692

Premiere Kidney Center Of Newark · Newark, OH
Active · expires Dec 1, 2026
CLIA Number36D1092692
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorStephanie E. Ladson Wofford
Laboratory Phone(740) 522-2955
Laboratory LocationPremiere Kidney Center Of Newark65 South Terrace Avenue, Newark, OH 43055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Premiere Kidney Center of Newark (CMS certification number 362644), from CMS Care Compare.

DaVita Premiere Kidney Center of Newark

Dialysis facility · Newark, OH
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362644
ESRD NetworkNetwork 9
Hemodialysis Stations21
Medicare-Certified SinceMay 30, 2002
Location65 SOUTH TERRACE AVENewark, OH 43055 · Licking County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
65 S TERRACE AVE
NEWARK, OH 43055
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
65 S TERRACE AVE
NEWARK, OH 43055

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 Lory Dialysis LLC's NPI number?

The NPI number for Lory Dialysis LLC is 1831487313. It was assigned to this organization in the NPPES registry on July 18, 2011. The provider is doing business as Premiere Kidney Center Of Newark.

Where is Lory Dialysis LLC located?

Lory Dialysis LLC is located at 65 S Terrace Ave, Newark, OH 43055. The listed phone number is (740) 522-2955.

What is Lory Dialysis LLC'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 Lory Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1092692) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lory Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Premiere Kidney Center of Newark is a Medicare-certified dialysis facility, certified since May 30, 2002.

What quality rating does Lory Dialysis LLC have?

CMS rates DaVita Premiere Kidney Center of Newark 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Lory Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 10 other insurers list Lory Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lory Dialysis LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.