42D0973502 CLIA NUMBER - SENECA DIALYSIS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 42D0973502
  • Facility Name: SENECA DIALYSIS CLINIC, LLC
  • Facility Address: 685 SOUTH OAK STREET
    SENECA, SC
    ZIP 29678
  • Facility Phone: 864 885-0273
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN OBRIEN
  • NPI Number: 1578961389
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0973502
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SENECA DIALYSIS CLINIC, LLC
Street 685 SOUTH OAK STREET
City SENECA
State SC
ZIP 29678
Phone 864 885-0273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KEVIN OBRIEN

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