34D0878880 CLIA NUMBER - HENDERSONVILLE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 34D0878880

Facility Name: HENDERSONVILLE DIALYSIS CENTER

Facility Address:
1250 7TH AVENUE
HENDERSONVILLE, NC
ZIP 28792
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Facility Phone Number: 828 697-1602

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1164481818

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0878880
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HENDERSONVILLE DIALYSIS CENTER
Street	1250 7TH AVENUE
City	HENDERSONVILLE
State	NC
ZIP	28792
Phone	828 697-1602
CertificateType	4
CertificateEffectiveDate	11/9/2023
CertificateExpirationDate	11/8/2025
FacilityType	Waiver

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