44D0315639 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 44D0315639
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 2749 N CENTRAL AVENUE
    HUMBOLDT, TN
    ZIP 38343
  • Facility Phone: 901 784-4384
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. SYED RAZA
  • NPI Number: 1396778775
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0315639
LAB Type Other
Facility Name DIALYSIS CLINIC INC
Street 2749 N CENTRAL AVENUE
City HUMBOLDT
State TN
ZIP 38343
Phone 901 784-4384
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 Other
Lab Director DR. SYED RAZA

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