44D2024537 CLIA NUMBER - SOUTH JACKSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2024537
  • Facility Name: SOUTH JACKSON DIALYSIS
  • Facility Address: 46 HARTS BRIDGE RD
    JACKSON, TN
    ZIP 38301
  • Facility Phone: 731 422-9568
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MURTY R. NARAPAREDDY
  • NPI Number: 1619274610
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2024537
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH JACKSON DIALYSIS
Street 46 HARTS BRIDGE RD
City JACKSON
State TN
ZIP 38301
Phone 731 422-9568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MURTY R. NARAPAREDDY

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