44D2093436 CLIA NUMBER - MEDINA DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D2093436
  • Facility Name: MEDINA DIALYSIS
  • Facility Address: 210 GRACE CV
    MEDINA, TN
    ZIP 38355
  • Facility Phone: 731 783-0527
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHYAMAL SARKAR
  • NPI Number: 1558755389
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2093436
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MEDINA DIALYSIS
Street 210 GRACE CV
City MEDINA
State TN
ZIP 38355
Phone 731 783-0527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SHYAMAL SARKAR

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