42D0960425 CLIA NUMBER - DIALYSIS CLINIC INC LANDRUM

Laboratory Demographics

  • CLIA Code: 42D0960425
  • Facility Name: DIALYSIS CLINIC INC LANDRUM
  • Facility Address: 110 EAST ASBURY DRIVE
    LANDRUM, SC
    ZIP 29356
  • Facility Phone: 864 457-2435
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LAWRENCE S. MCGEE III
  • NPI Number: 1861411001
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0960425
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC LANDRUM
Street 110 EAST ASBURY DRIVE
City LANDRUM
State SC
ZIP 29356
Phone 864 457-2435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LAWRENCE S. MCGEE III

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