18D1094938 CLIA NUMBER - SOUTH WILLIAMSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D1094938
  • Facility Name: SOUTH WILLIAMSON DIALYSIS
  • Facility Address: 204 APPALACHIAN PLAZA
    SOUTH WILLIAMSON, KY
    ZIP 41503
  • Facility Phone: 606 123-4566
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AHMAD B. FARIDI
  • NPI Number: 1932351848
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1094938
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH WILLIAMSON DIALYSIS
Street 204 APPALACHIAN PLAZA
City SOUTH WILLIAMSON
State KY
ZIP 41503
Phone 606 123-4566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AHMAD B. FARIDI

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