34D0669844 CLIA NUMBER - DIALYSIS CARE OF ROCKINGHAM COUNTY

Laboratory Demographics

CLIA Number: 34D0669844

Facility Name: DIALYSIS CARE OF ROCKINGHAM COUNTY

Facility Address:
251 WEST KINGS HIGHWAY
EDEN, NC
ZIP 27288
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Facility Phone Number: 910 623-7906

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1114986577

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0669844
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CARE OF ROCKINGHAM COUNTY
Street	251 WEST KINGS HIGHWAY
City	EDEN
State	NC
ZIP	27288
Phone	910 623-7906
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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