11D1075260 CLIA NUMBER - TIFTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1075260
  • Facility Name: TIFTON DIALYSIS
  • Facility Address: 624 LOVE AVENUE
    TIFTON, GA
    ZIP 31794
  • Facility Phone: 229 382-1497
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAAD BEDEIR
  • NPI Number: 1073709945
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1075260
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TIFTON DIALYSIS
Street 624 LOVE AVENUE
City TIFTON
State GA
ZIP 31794
Phone 229 382-1497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAAD BEDEIR

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