01D0968024 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 01D0968024
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 1611 21ST COURT
    PHENIX CITY, AL
    ZIP 36867
  • Facility Phone: 334 448-4840
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID E. WHITE MD
  • NPI Number: 1366462772
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0968024
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 1611 21ST COURT
City PHENIX CITY
State AL
ZIP 36867
Phone 334 448-4840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID E. WHITE MD

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