42D2036731 CLIA NUMBER - KEOWEE DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 42D2036731
  • Facility Name: KEOWEE DIALYSIS CENTER, LLC
  • Facility Address: 537 HIGHWAY 123
    SENECA, SC
    ZIP 29678
  • Facility Phone: 864 886-4284
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN R. O BRIEN
  • NPI Number: 1922370626
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2036731
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KEOWEE DIALYSIS CENTER, LLC
Street 537 HIGHWAY 123
City SENECA
State SC
ZIP 29678
Phone 864 886-4284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEVIN R. O BRIEN

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