44D0988721 CLIA NUMBER - ISD RENAL INC DBA RENAL CARE OF MEMPHIS NORTH

Laboratory Demographics

  • CLIA Code: 44D0988721
  • Facility Name: ISD RENAL INC DBA RENAL CARE OF MEMPHIS NORTH
  • Facility Address: 4913 RALEIGH COMMON DRIVE SUITE 100
    MEMPHIS, TN
    ZIP 38128
  • Facility Phone: 901 937-0650
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAWAR E. MANSOUR
  • NPI Number: 1447206172
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0988721
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ISD RENAL INC DBA RENAL CARE OF MEMPHIS NORTH
Street 4913 RALEIGH COMMON DRIVE SUITE 100
City MEMPHIS
State TN
ZIP 38128
Phone 901 937-0650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAWAR E. MANSOUR

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