42D1079073 CLIA NUMBER - DIALYSIS CLINIC INC-DCI GOOSE CREEK

Laboratory Demographics

  • CLIA Code: 42D1079073
  • Facility Name: DIALYSIS CLINIC INC-DCI GOOSE CREEK
  • Facility Address: 98 HAMLET CIRCLE
    GOOSE CREEK, SC
    ZIP 29445
  • Facility Phone: 843 723-7227
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANAND ACHANTI
  • NPI Number: 1962424069
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1079073
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC-DCI GOOSE CREEK
Street 98 HAMLET CIRCLE
City GOOSE CREEK
State SC
ZIP 29445
Phone 843 723-7227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANAND ACHANTI

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