42D1088784 CLIA NUMBER - LONGS DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D1088784
  • Facility Name: LONGS DIALYSIS
  • Facility Address: 90 CLOVERLEAF DR, STE 306
    LONGS, SC
    ZIP 29568
  • Facility Phone: 843 399-5275
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DEBBY T. DESALVO, MD
  • NPI Number: 1083885776
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1088784
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONGS DIALYSIS
Street 90 CLOVERLEAF DR, STE 306
City LONGS
State SC
ZIP 29568
Phone 843 399-5275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DEBBY T. DESALVO, MD

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