44D0311365 CLIA NUMBER - NATIONAL MEDICAL CARE INC DBA RENAL CARE CENTER OF EAST TN

Laboratory Demographics

CLIA Number: 44D0311365

Facility Name: NATIONAL MEDICAL CARE INC DBA RENAL CARE CENTER OF EAST TN

Facility Address:
180 SERRAL DRIVE
GREENEVILLE, TN
ZIP 37745
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Facility Phone Number: 423 638-1201

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1376581983

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0311365
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NATIONAL MEDICAL CARE INC DBA RENAL CARE CENTER OF EAST TN
Street	180 SERRAL DRIVE
City	GREENEVILLE
State	TN
ZIP	37745
Phone	423 638-1201
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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