11D0265940 CLIA NUMBER - DIALYSIS CLINIC, INC - BLAKELY

Laboratory Demographics

  • CLIA Code: 11D0265940
  • Facility Name: DIALYSIS CLINIC, INC - BLAKELY
  • Facility Address: 11135 COLUMBIA STREET
    BLAKELY, GA
    ZIP 39823
  • Facility Phone: (229) 723-5054
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. BELL
  • NPI Number: 1194758573
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0265940
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC - BLAKELY
Street 11135 COLUMBIA STREET
City BLAKELY
State GA
ZIP 39823
Phone 2297235054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEFFREY L. BELL

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This page was last updated on: 5/18/2026