44D0926028 CLIA NUMBER - TOTAL RENAL CARE INC DBA BOLIVAR DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D0926028
  • Facility Name: TOTAL RENAL CARE INC DBA BOLIVAR DIALYSIS
  • Facility Address: 515 PECAN DRIVE
    BOLIVAR, TN
    ZIP 38008
  • Facility Phone: 731 658-3828
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARGARET HASTINGS
  • NPI Number: 1235191859
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0926028
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE INC DBA BOLIVAR DIALYSIS
Street 515 PECAN DRIVE
City BOLIVAR
State TN
ZIP 38008
Phone 731 658-3828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MARGARET HASTINGS

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