44D0955003 CLIA NUMBER - DIALYSIS ASSOCIATES OF TULLAHOMA

Laboratory Demographics

  • CLIA Code: 44D0955003
  • Facility Name: DIALYSIS ASSOCIATES OF TULLAHOMA
  • Facility Address: 1406 N JACKSON ST, SUITE 600
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 461-9010
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OLAPADO OMITOWOJU MD
  • NPI Number: 1275645095
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0955003
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS ASSOCIATES OF TULLAHOMA
Street 1406 N JACKSON ST, SUITE 600
City TULLAHOMA
State TN
ZIP 37388
Phone 931 461-9010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OLAPADO OMITOWOJU MD

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