44D2041240 CLIA NUMBER - MORRISTOWN DIALYSIS

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Laboratory Demographics

CLIA Number: 44D2041240

Facility Name: MORRISTOWN DIALYSIS

Facility Address:
120 PEARCE DR
MORRISTOWN, TN
ZIP 37814
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Facility Phone Number: 423 587-3537

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1336330034

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	44D2041240
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MORRISTOWN DIALYSIS
Street	120 PEARCE DR
City	MORRISTOWN
State	TN
ZIP	37814
Phone	423 587-3537
CertificateType	4
CertificateEffectiveDate	5/18/2022
CertificateExpirationDate	5/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024