34D1044288 CLIA NUMBER - REIDSVILLE DIALYSIS

Laboratory Demographics

CLIA Number: 34D1044288

Facility Name: REIDSVILLE DIALYSIS

Facility Address:
1307 FREEWAY DRIVE
REIDSVILLE, NC
ZIP 27320
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Facility Phone Number: 336 348-6857

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1801855473

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1044288
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	REIDSVILLE DIALYSIS
Street	1307 FREEWAY DRIVE
City	REIDSVILLE
State	NC
ZIP	27320
Phone	336 348-6857
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

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