34D1054678 CLIA NUMBER - INS FREEDOM DIALYSIS

Laboratory Demographics

  • CLIA Code: 34D1054678
  • Facility Name: INS FREEDOM DIALYSIS
  • Facility Address: 3158 FREEDOM DRIVE SUITE 2102
    CHARLOTTE, NC
    ZIP 28208
  • Facility Phone: 980 341-1900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KATHLEEN A. DOMAN
  • NPI Number: 1962451492
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1054678
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INS FREEDOM DIALYSIS
Street 3158 FREEDOM DRIVE SUITE 2102
City CHARLOTTE
State NC
ZIP 28208
Phone 980 341-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KATHLEEN A. DOMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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