42D1054165 CLIA NUMBER - FORT MILL DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D1054165
  • Facility Name: FORT MILL DIALYSIS
  • Facility Address: 1975 CAROLINA PLACE DR
    FORT MILL, SC
    ZIP 29715
  • Facility Phone: 803 802-3027
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS SMARZ
  • NPI Number: 1659895183
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 42D1054165
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FORT MILL DIALYSIS
Street 1975 CAROLINA PLACE DR
City FORT MILL
State SC
ZIP 29715
Phone 803 802-3027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS SMARZ

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