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34D0655083 CLIA NUMBER - CAROLINA DIALYSIS - SANFORD

Laboratory Demographics

CLIA Number: 34D0655083

Facility Name: CAROLINA DIALYSIS - SANFORD

Facility Address:
1017 CARTHAGE ST
SANFORD, NC
ZIP 27330
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Facility Phone Number: 919 718-0680

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1871119784

Taxonomy: 103T00000X - Psychologist
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

CLIA Record

Field Name Field Value
CLIA Number 34D0655083
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAROLINA DIALYSIS - SANFORD
Street 1017 CARTHAGE ST
City SANFORD
State NC
ZIP 27330
Phone 919 718-0680
CertificateType 4
CertificateEffectiveDate 1/19/2023
CertificateExpirationDate 1/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024