42D0251718 CLIA NUMBER - CONWAY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 42D0251718
  • Facility Name: CONWAY DIALYSIS CENTER
  • Facility Address: 838 FARRAR DRIVE
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 347-5111
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAMALAKSHMI SANTHANAM
  • NPI Number: 1356453161
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0251718
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CONWAY DIALYSIS CENTER
Street 838 FARRAR DRIVE
City CONWAY
State SC
ZIP 29526
Phone 843 347-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAMALAKSHMI SANTHANAM

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This page was last updated on: 3/20/2025