42D0253914 CLIA NUMBER - FMC DIALYSIS SERVICES LOW COUNTRY DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D0253914
  • Facility Name: FMC DIALYSIS SERVICES LOW COUNTRY DIALYSIS
  • Facility Address: 10 JOHNNY MORRALL CIRCLE
    PORT ROYAL, SC
    ZIP 29935
  • Facility Phone: 843 524-2373
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARTIN WEBB
  • NPI Number: 1275542300
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 42D0253914
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FMC DIALYSIS SERVICES LOW COUNTRY DIALYSIS
Street 10 JOHNNY MORRALL CIRCLE
City PORT ROYAL
State SC
ZIP 29935
Phone 843 524-2373
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 MARTIN WEBB

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