42D2030146 CLIA NUMBER - DIALYSIS CLINIC, INC

Laboratory Demographics

  • CLIA Code: 42D2030146
  • Facility Name: DIALYSIS CLINIC, INC
  • Facility Address: DCI ARCHDALE 5300 ARCHDALE BLVD
    CHARLESTON, SC
    ZIP 29418
  • Facility Phone: 843 552-0935
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. ULLIAN
  • NPI Number: 1437445293
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2030146
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC
Street DCI ARCHDALE 5300 ARCHDALE BLVD
City CHARLESTON
State SC
ZIP 29418
Phone 843 552-0935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2023
Certificate Expiration Date 9/21/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL E. ULLIAN

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This page was last updated on: 6/4/2025