34D0991549 CLIA NUMBER - DIALYSIS CLINIC INC- KINGS MT

Laboratory Demographics

  • CLIA Code: 34D0991549
  • Facility Name: DIALYSIS CLINIC INC- KINGS MT
  • Facility Address: 1010 SHELBY RD
    KINGS MOUNTAIN, NC
    ZIP 28086
  • Facility Phone: 704 739-9342
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED J. AHMED MD
  • NPI Number: 1689693822
  • Taxonomy: 261QE0700X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYED J. AHMED MD

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This page was last updated on: 9/29/2025