44D0693218 CLIA NUMBER - RENAL CARE GROUP-CLARKSDALE

Laboratory Demographics

  • CLIA Code: 44D0693218
  • Facility Name: RENAL CARE GROUP-CLARKSDALE
  • Facility Address: 2010 NORTH STREET
    CLARKSDALE, MS
    ZIP 38614
  • Facility Phone: 662 627-4786
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN P. HAIRE
  • NPI Number: 1306958178
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0693218
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP-CLARKSDALE
Street 2010 NORTH STREET
City CLARKSDALE
State MS
ZIP 38614
Phone 662 627-4786
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 JOHN P. HAIRE

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