42D1056704 CLIA NUMBER - CAROLINA DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 42D1056704
  • Facility Name: CAROLINA DIALYSIS LLC
  • Facility Address: 115 INTERSTATE PARK
    SPARTANBURG, SC
    ZIP 29302
  • Facility Phone: 864 576-9999
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW LAMBERT
  • NPI Number: 1134448806
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1056704
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAROLINA DIALYSIS LLC
Street 115 INTERSTATE PARK
City SPARTANBURG
State SC
ZIP 29302
Phone 864 576-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MATTHEW LAMBERT

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