44D0925810 CLIA NUMBER - TIPTON COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D0925810
  • Facility Name: TIPTON COUNTY DIALYSIS
  • Facility Address: 107 TENNESSEE AVENUE
    COVINGTON, TN
    ZIP 38019
  • Facility Phone: 901 475-0410
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAMAKANT M. MULAY MD
  • NPI Number: 1093265605
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 44D0925810
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TIPTON COUNTY DIALYSIS
Street 107 TENNESSEE AVENUE
City COVINGTON
State TN
ZIP 38019
Phone 901 475-0410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAMAKANT M. MULAY MD

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