42D0676342 CLIA NUMBER - UPSTATE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 42D0676342
  • Facility Name: UPSTATE DIALYSIS CENTER
  • Facility Address: 308 MILLS AVE
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 864 271-3700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHOCKRI ALIOUA
  • NPI Number: 1043272065
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0676342
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UPSTATE DIALYSIS CENTER
Street 308 MILLS AVE
City GREENVILLE
State SC
ZIP 29605
Phone 864 271-3700
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 DR. CHOCKRI ALIOUA

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