44D1095394 CLIA NUMBER - MILLINGTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D1095394
  • Facility Name: MILLINGTON DIALYSIS
  • Facility Address: 8510 WILKINSVILLE ROAD STE 121
    MILLINGTON, TN
    ZIP 38053
  • Facility Phone: 615 341-6793
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OMAR O. HAMZE
  • NPI Number: 1457590192
  • Taxonomy: 2080N0001X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D1095394
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILLINGTON DIALYSIS
Street 8510 WILKINSVILLE ROAD STE 121
City MILLINGTON
State TN
ZIP 38053
Phone 615 341-6793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OMAR O. HAMZE

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