44D2007623 CLIA NUMBER - SPARTA DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2007623
  • Facility Name: SPARTA DIALYSIS
  • Facility Address: 150 SAM WALTON DR, SUITE 700
    SPARTA, TN
    ZIP 38583
  • Facility Phone: (931) 739-3550
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANJU MENDIRATTA
  • NPI Number: 1528383981
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2007623
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPARTA DIALYSIS
Street 150 SAM WALTON DR, SUITE 700
City SPARTA
State TN
ZIP 38583
Phone 9317393550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2026
Certificate Expiration Date 5/19/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANJU MENDIRATTA

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This page was last updated on: 5/18/2026