34D0669884 CLIA NUMBER - DIALYSIS CARE OF RICHMOND COUNTY

Laboratory Demographics

CLIA Number: 34D0669884

Facility Name: DIALYSIS CARE OF RICHMOND COUNTY

Facility Address:
771 CHERAW ROAD
HAMLET, NC
ZIP 28345
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Facility Phone Number: 910 582-5822

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1437119641

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0669884
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CARE OF RICHMOND COUNTY
Street	771 CHERAW ROAD
City	HAMLET
State	NC
ZIP	28345
Phone	910 582-5822
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