44D0993156 CLIA NUMBER - COLLIERVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D0993156
  • Facility Name: COLLIERVILLE DIALYSIS
  • Facility Address: 791 W POPLAR AVENUE
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 853-7809
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KANDALA R. CHARY MD
  • NPI Number: 1245292861
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0993156
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLLIERVILLE DIALYSIS
Street 791 W POPLAR AVENUE
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 853-7809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KANDALA R. CHARY MD

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