42D2095306 CLIA NUMBER - CLINTON DIALYSIS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 42D2095306
  • Facility Name: CLINTON DIALYSIS CLINIC LLC
  • Facility Address: 103 AB JACKS RD
    CLINTON, SC
    ZIP 29325
  • Facility Phone: 864 833-0150
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOACHIM HERTEL
  • NPI Number: 1053705483
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2095306
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLINTON DIALYSIS CLINIC LLC
Street 103 AB JACKS RD
City CLINTON
State SC
ZIP 29325
Phone 864 833-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOACHIM HERTEL

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