34D0914471 CLIA NUMBER - DIALYSIS CARE OF MARTIN COUNTY

Laboratory Demographics

CLIA Number: 34D0914471

Facility Name: DIALYSIS CARE OF MARTIN COUNTY

Facility Address:
100 MEDICAL DRIVE
WILLIAMSTON, NC
ZIP 27892
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Facility Phone Number: 252 792-2386

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1790744233

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0914471
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CARE OF MARTIN COUNTY
Street	100 MEDICAL DRIVE
City	WILLIAMSTON
State	NC
ZIP	27892
Phone	252 792-2386
CertificateType	4
CertificateEffectiveDate	5/1/2024
CertificateExpirationDate	4/30/2026
FacilityType	Waiver

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