42D1031759 CLIA NUMBER - PENDLETON DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D1031759
  • Facility Name: PENDLETON DIALYSIS
  • Facility Address: 7703 HIGHWAY 76
    PENDLETON, SC
    ZIP 29670
  • Facility Phone: 864 646-7715
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FREDERICK ROGOFF
  • NPI Number: 1710963244
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D1031759
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PENDLETON DIALYSIS
Street 7703 HIGHWAY 76
City PENDLETON
State SC
ZIP 29670
Phone 864 646-7715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FREDERICK ROGOFF

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