44D0936646 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 44D0936646
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 120 FRANK MARTIN RD, SUITE 202
    SHELBYVILLE, TN
    ZIP 37160
  • Facility Phone: 931 684-3040
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OLADAPO OMITOWOJU
  • NPI Number: 1528091907
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0936646
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 120 FRANK MARTIN RD, SUITE 202
City SHELBYVILLE
State TN
ZIP 37160
Phone 931 684-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OLADAPO OMITOWOJU

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