11D1098175 CLIA NUMBER - SATILLA RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1098175
  • Facility Name: SATILLA RIVER DIALYSIS
  • Facility Address: 308 CARSWELL AVENUE
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 912 285-1663
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRYAN KRULL
  • NPI Number: 1538392071
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1098175
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SATILLA RIVER DIALYSIS
Street 308 CARSWELL AVENUE
City WAYCROSS
State GA
ZIP 31501
Phone 912 285-1663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRYAN KRULL

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