34D2172105 CLIA NUMBER - BLADENBORO DIALYSIS

Laboratory Demographics

  • CLIA Code: 34D2172105
  • Facility Name: BLADENBORO DIALYSIS
  • Facility Address: 219 MARTIN LUTHER KING JR DRIVE
    BLADENBORO, NC
    ZIP 28320
  • Facility Phone: 910 863-2046
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ERIC A. KIRK
  • NPI Number: 1063452753
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2172105
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BLADENBORO DIALYSIS
Street 219 MARTIN LUTHER KING JR DRIVE
City BLADENBORO
State NC
ZIP 28320
Phone 910 863-2046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ERIC A. KIRK

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