44D0310137 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

CLIA Number: 44D0310137

Facility Name: DIALYSIS CLINIC INC

Facility Address:
1425 EAST THIRD STREET
CHATTANOOGA, TN
ZIP 37404
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Facility Phone Number: 423 698-0927

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1770511321

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0310137
LAB Type	Other
Facility Name	DIALYSIS CLINIC INC
Street	1425 EAST THIRD STREET
City	CHATTANOOGA
State	TN
ZIP	37404
Phone	423 698-0927
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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