34D1005009 CLIA NUMBER - CHADBOURN DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 34D1005009
  • Facility Name: CHADBOURN DIALYSIS CENTER
  • Facility Address: 210 E STRAWBERRY BLVD
    CHADBOURN, NC
    ZIP 28431
  • Facility Phone: 253 272-1916
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DERRICK C. ROBINSON
  • NPI Number: 1669429437
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 34D1005009
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHADBOURN DIALYSIS CENTER
Street 210 E STRAWBERRY BLVD
City CHADBOURN
State NC
ZIP 28431
Phone 253 272-1916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DERRICK C. ROBINSON

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