44D0310329 CLIA NUMBER - DIALYSIS CLINIC INC-EAST RIDGE

Laboratory Demographics

  • CLIA Code: 44D0310329
  • Facility Name: DIALYSIS CLINIC INC-EAST RIDGE
  • Facility Address: 6104 NORTH MACK SMITH ROAD
    CHATTANOOGA, TN
    ZIP 37412
  • Facility Phone: 423 894-8133
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JACKSON J. YIUM MD
  • NPI Number: 1497783047
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0310329
LAB Type Other
Facility Name DIALYSIS CLINIC INC-EAST RIDGE
Street 6104 NORTH MACK SMITH ROAD
City CHATTANOOGA
State TN
ZIP 37412
Phone 423 894-8133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other
Lab Director JACKSON J. YIUM MD

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