44D2318702 CLIA NUMBER - PREMIER DIALYSIS SERVICE TENNESSEE LLC

Laboratory Demographics

  • CLIA Code: 44D2318702
  • Facility Name: PREMIER DIALYSIS SERVICE TENNESSEE LLC
  • Facility Address: 11762 DOUGLAS ST
    ARLINGTON, TN
    ZIP 38002
  • Facility Phone: 888 543-6390
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANNA LEE-MULAY
  • NPI Number: 1780294702
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2318702
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PREMIER DIALYSIS SERVICE TENNESSEE LLC
Street 11762 DOUGLAS ST
City ARLINGTON
State TN
ZIP 38002
Phone 888 543-6390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANNA LEE-MULAY

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