34D2129176 CLIA NUMBER - EDGECOMBE HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 34D2129176
  • Facility Name: EDGECOMBE HOME DIALYSIS
  • Facility Address: 122 HOSPITAL DRIVE
    TARBORO, NC
    ZIP 27886
  • Facility Phone: 252 824-0017
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT KENDRICK
  • NPI Number: 1487197406
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2129176
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EDGECOMBE HOME DIALYSIS
Street 122 HOSPITAL DRIVE
City TARBORO
State NC
ZIP 27886
Phone 252 824-0017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SCOTT KENDRICK

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