Critical access hospital · NY

Lake Plains Dialysis

Name: 340B covered-entity record — Lake Plains Dialysis (CAH330053-01)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

Filed under MEDINA MEMORIAL HOSPITAL, which files the Medicare cost report for this system.

Taking partNoTermination date filed1 January 2018Last certified12 August 2016

0Registered locations
2Associated locations
0Contract pharmacies
0With no end date
1 January 2016In 340B since

Finances, as filed

This record is a location registered under MEDINA MEMORIAL HOSPITAL, which files the Medicare cost report. The finances are on that record.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

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Follow this system for $2,990/year

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Cite this page

Velarion Records, “Lake Plains Dialysis”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/CAH330053-01. Accessed 10 September 2026.

Participation, as filed

Participating: FALSE
Participation start date: 1 January 2016
Termination date: 1 January 2018
Termination reason: Terminated - Reason unknown
Certification date: 12 August 2016
Record last edited: 1 January 2018

Identifiers

340B ID: CAH330053-01
Entity type as filed: CAH
CMS certification number: 330053
Rural: No

11020 West Center Street, Medina NY 14103

Associated locations


Lake Plains Dialysis	11020 West Center Street	Medina NY 14103
Medina Memorial Hospital	200 Ohio Street	Medina NY 14103

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.