44D2007751 CLIA NUMBER - STATE LINE DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2007751
  • Facility Name: STATE LINE DIALYSIS
  • Facility Address: 2049 E SHELBY DR
    MEMPHIS, TN
    ZIP 38116
  • Facility Phone: 901 348-1931
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. OLUFEMI O. ADELEYE
  • NPI Number: 1336467703
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2007751
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name STATE LINE DIALYSIS
Street 2049 E SHELBY DR
City MEMPHIS
State TN
ZIP 38116
Phone 901 348-1931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. OLUFEMI O. ADELEYE

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