19D1094294 CLIA NUMBER - ST JAMES DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 19D1094294
  • Facility Name: ST JAMES DIALYSIS CENTER
  • Facility Address: 1661 HWY 3125
    GRAMERCY, LA
    ZIP 70052
  • Facility Phone: 225 869-6681
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY SORAPURU
  • NPI Number: 1841521200
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1094294
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST JAMES DIALYSIS CENTER
Street 1661 HWY 3125
City GRAMERCY
State LA
ZIP 70052
Phone 225 869-6681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TAMMY SORAPURU

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