01D1030605 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 01D1030605
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 3861 SALEM ROAD
    ENTERPRISE, AL
    ZIP 36330
  • Facility Phone: 334 347-8233
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAVINDRANATH KANTAMNENI MD
  • NPI Number: 1669405049
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1030605
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 3861 SALEM ROAD
City ENTERPRISE
State AL
ZIP 36330
Phone 334 347-8233
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 MD

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