44D0307719 CLIA NUMBER - MURFREESBORO DIALYSIS

Laboratory Demographics

CLIA Number: 44D0307719

Facility Name: MURFREESBORO DIALYSIS

Facility Address:
1664 GATEWAY BLVD
MURFREESBORO, TN
ZIP 37129
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Facility Phone Number: 615 890-7270

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1336533355

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	44D0307719
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MURFREESBORO DIALYSIS
Street	1664 GATEWAY BLVD
City	MURFREESBORO
State	TN
ZIP	37129
Phone	615 890-7270
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024