44D1081331 CLIA NUMBER - GALLERIA HOME TRAINING DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D1081331
  • Facility Name: GALLERIA HOME TRAINING DIALYSIS
  • Facility Address: 9045 HIGHWAY 64 SUITE 102
    LAKELAND, TN
    ZIP 38002
  • Facility Phone: 901 386-1252
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANJEEV K. MITTAL MD
  • NPI Number: 1649233206
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1081331
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GALLERIA HOME TRAINING DIALYSIS
Street 9045 HIGHWAY 64 SUITE 102
City LAKELAND
State TN
ZIP 38002
Phone 901 386-1252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANJEEV K. MITTAL MD

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