11D2081547 CLIA NUMBER - SAVANNAH RIVERSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2081547
  • Facility Name: SAVANNAH RIVERSIDE DIALYSIS
  • Facility Address: 540 E OGLETHORPE AVE
    SAVANNAH, GA
    ZIP 31401
  • Facility Phone: 912 236-3053
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NIZAR ESKANDAR
  • NPI Number: 1760898944
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2081547
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAVANNAH RIVERSIDE DIALYSIS
Street 540 E OGLETHORPE AVE
City SAVANNAH
State GA
ZIP 31401
Phone 912 236-3053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NIZAR ESKANDAR

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