44D0315531 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 44D0315531
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 93 RIDGECREST ROAD
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 901 668-0800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHIMA OLERU
  • NPI Number: 1306874953
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0315531
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 93 RIDGECREST ROAD
City JACKSON
State TN
ZIP 38305
Phone 901 668-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CHIMA OLERU

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