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CLINTON DIALYSIS CLINIC LLC
NPI 1053705483
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Clinton, SC

Active since March 24, 2015CLIA 42D2095306 · Waiver
3/5
Overall Rating
103 AB JACKS RD, CLINTON, SC 29325(864) 833-0150(864) 833-0151 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2026, Jan 10, 2023, Aug 19, 2022 and 4 more (7 updates tracked since 2016).

About Clinton Dialysis Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON DIALYSIS CLINIC LLC (NPI 1053705483) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Clinton, South Carolina and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1053705483
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCLINTON DIALYSIS CLINIC LLC
Location Address103 AB JACKS RDClinton, SC 29325-2112
Mailing Address103 Ab Jacks RdClinton, SC 29325-2112 · (864) 833-0150 · Fax (864) 833-0151
Phone(864) 833-0150
Fax(864) 833-0151
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateMarch 24, 2015
Last NPPES UpdateMay 19, 20267 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1053705483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
103 AB JACKS RD, Clinton, SC 29325
Open in Google Maps ↗

Other Identifiers 1

MedicaidRE0074SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2095306

Clinton Dialysis Clinic LLC · Clinton, SC
Active · expires May 4, 2027
CLIA Number42D2095306
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorJoachim Hertel
Laboratory Phone(864) 833-0150
Laboratory LocationClinton Dialysis Clinic LLC103 Ab Jacks Rd, Clinton, SC 29325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.		 - 3 out of 5 stars - Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameAmerican Renal Associates
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.		No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.		Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.		20
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.		Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.		No
Certification or Recertification Date01-07-2016

Frequently Asked Questions

What is CLINTON DIALYSIS CLINIC LLC's NPI number?

The NPI number assigned to this healthcare provider is 1053705483, enumerated as an "organization" on March 24, 2015.

Where is the provider located?

The provider is located at 103 AB JACKS RD CLINTON, SC 29325 and the phone number is (864) 833-0150.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does CLINTON DIALYSIS CLINIC LLC accept?

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina,. Please consult your insurance carrier or call the provider to verify.