44D1041377 CLIA NUMBER - DIALYSIS CLINIC INC-BEECH LAKE

Laboratory Demographics

  • CLIA Code: 44D1041377
  • Facility Name: DIALYSIS CLINIC INC-BEECH LAKE
  • Facility Address: 864 W CHURCH ST
    LEXINGTON, TN
    ZIP 38351
  • Facility Phone: 731 968-2513
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. TRACY TOWNES-BOUGARD
  • NPI Number: 1770516254
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1041377
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC-BEECH LAKE
Street 864 W CHURCH ST
City LEXINGTON
State TN
ZIP 38351
Phone 731 968-2513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. TRACY TOWNES-BOUGARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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