01D1030603 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 01D1030603
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 1630 COLUMBIA HIGHWAY
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 793-3519
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAVINDRANATH KANTAMNENI
  • NPI Number: 1841223328
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1030603
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 1630 COLUMBIA HIGHWAY
City DOTHAN
State AL
ZIP 36303
Phone 334 793-3519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAVINDRANATH KANTAMNENI

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