44D2155650 CLIA NUMBER - ISD RENAL INC DBA FOREMAN DRIVE HOME TRAINING

Laboratory Demographics

  • CLIA Code: 44D2155650
  • Facility Name: ISD RENAL INC DBA FOREMAN DRIVE HOME TRAINING
  • Facility Address: 1843 FOREMAN DRIVE SUITE 201
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 372-2706
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. QURRAT UL AIN SHAMIM
  • NPI Number: 1003390469
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2155650
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ISD RENAL INC DBA FOREMAN DRIVE HOME TRAINING
Street 1843 FOREMAN DRIVE SUITE 201
City COOKEVILLE
State TN
ZIP 38501
Phone 931 372-2706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. QURRAT UL AIN SHAMIM

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