44D2037646 CLIA NUMBER - GREENEVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2037646
  • Facility Name: GREENEVILLE DIALYSIS
  • Facility Address: 110 HERITAGE CT
    GREENEVILLE, TN
    ZIP 37743
  • Facility Phone: 423 639-2110
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LARA KFOURY
  • NPI Number: 1184269573
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 44D2037646
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREENEVILLE DIALYSIS
Street 110 HERITAGE CT
City GREENEVILLE
State TN
ZIP 37743
Phone 423 639-2110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LARA KFOURY

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