34D0999463 CLIA NUMBER - CAROLINA DIALYSIS PITTBORO

Laboratory Demographics

CLIA Number: 34D0999463

Facility Name: CAROLINA DIALYSIS PITTBORO

Facility Address:
76 OLD ROCK SPRINGS CEMETERY RD
PITTSBORO, NC
ZIP 27312
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Facility Phone Number: 919 545-0019

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1326265695

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0999463
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CAROLINA DIALYSIS PITTBORO
Street	76 OLD ROCK SPRINGS CEMETERY RD
City	PITTSBORO
State	NC
ZIP	27312
Phone	919 545-0019
CertificateType	4
CertificateEffectiveDate	5/14/2024
CertificateExpirationDate	5/13/2026
FacilityType	Waiver

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