44D1058954 CLIA NUMBER - TOTAL RENAL CARE INC DBA ETOWAH DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D1058954
  • Facility Name: TOTAL RENAL CARE INC DBA ETOWAH DIALYSIS
  • Facility Address: 109 GRADY RD
    ETOWAH, TN
    ZIP 37331
  • Facility Phone: 423 263-3666
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GHAZALI KHAN, MD
  • NPI Number: 1184998270
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1058954
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE INC DBA ETOWAH DIALYSIS
Street 109 GRADY RD
City ETOWAH
State TN
ZIP 37331
Phone 423 263-3666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GHAZALI KHAN, MD

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