34D0992899 CLIA NUMBER - ELKIN DIALYSIS CENTER OF WAKE FOREST UNIVERSITY

Laboratory Demographics

  • CLIA Code: 34D0992899
  • Facility Name: ELKIN DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
  • Facility Address: 941 JOHNSON RIDGE ROAD
    ELKIN, NC
    ZIP 28621
  • Facility Phone: 336 527-4722
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANITA M. SARAN
  • NPI Number: 1477530525
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0992899
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELKIN DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
Street 941 JOHNSON RIDGE ROAD
City ELKIN
State NC
ZIP 28621
Phone 336 527-4722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANITA M. SARAN

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This page was last updated on: 6/4/2025