42D2147166 CLIA NUMBER - CORONACA HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D2147166
  • Facility Name: CORONACA HOME DIALYSIS
  • Facility Address: 3337 HIGHWAY 72-221 E
    GREENWOOD, SC
    ZIP 29649
  • Facility Phone: 864 229-0101
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINE A. MURAKAMI
  • NPI Number: 1740785518
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2147166
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CORONACA HOME DIALYSIS
Street 3337 HIGHWAY 72-221 E
City GREENWOOD
State SC
ZIP 29649
Phone 864 229-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHRISTINE A. MURAKAMI

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