11D0987544 CLIA NUMBER - EFFINGHAM NORTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0987544
  • Facility Name: EFFINGHAM NORTH DIALYSIS
  • Facility Address: 1451 HWY 21 SOUTH, SUITE A
    SPRINGFIELD, GA
    ZIP 31329
  • Facility Phone: 912 754-6098
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NANCY S. THOMPSON
  • NPI Number: 1164651022
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0987544
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EFFINGHAM NORTH DIALYSIS
Street 1451 HWY 21 SOUTH, SUITE A
City SPRINGFIELD
State GA
ZIP 31329
Phone 912 754-6098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NANCY S. THOMPSON

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