34D2008522 CLIA NUMBER - CARTHAGE DIALYSIS

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Laboratory Demographics

CLIA Number: 34D2008522

Facility Name: CARTHAGE DIALYSIS

Facility Address:
165 SAVANNAH GARDEN
CARTHAGE, NC
ZIP 28327
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Facility Phone Number: 910 947-1052

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1346568367

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2008522
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CARTHAGE DIALYSIS
Street	165 SAVANNAH GARDEN
City	CARTHAGE
State	NC
ZIP	28327
Phone	910 947-1052
CertificateType	4
CertificateEffectiveDate	6/11/2022
CertificateExpirationDate	6/10/2024
FacilityType	Waiver

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