34D0991549 CLIA NUMBER - DIALYSIS CLINIC INC- KINGS MT

Laboratory Demographics

CLIA Number: 34D0991549

Facility Name: DIALYSIS CLINIC INC- KINGS MT

Facility Address:
1010 SHELBY RD
KINGS MOUNTAIN, NC
ZIP 28086
Get Directions

Facility Phone Number: 704 739-9342

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1689693822

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0991549
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CLINIC INC- KINGS MT
Street	1010 SHELBY RD
City	KINGS MOUNTAIN
State	NC
ZIP	28086
Phone	704 739-9342
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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