04D2151358 CLIA NUMBER - COLLEGE CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D2151358
  • Facility Name: COLLEGE CITY DIALYSIS
  • Facility Address: 2630 DONAGHEY AVE
    CONWAY, AR
    ZIP 72032
  • Facility Phone: 501 504-2474
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KASHEF RASHEED
  • NPI Number: 1073010518
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2151358
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLLEGE CITY DIALYSIS
Street 2630 DONAGHEY AVE
City CONWAY
State AR
ZIP 72032
Phone 501 504-2474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KASHEF RASHEED

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