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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: August 16, 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 Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Clinton Dialysis Clinic (CMS certification number 422662), from CMS Care Compare.

Clinton Dialysis Clinic

Dialysis facility · Clinton, SC
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainAmerican Renal Associates
CMS Certification Number422662
ESRD NetworkNetwork 6
Hemodialysis Stations20
Medicare-Certified SinceJanuary 7, 2016
Location103 AB JACKS RDClinton, SC 29325 · Laurens County
Phone(864) 833-0150
Services Offered
In-center hemodialysis Peritoneal dialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Dialysis Clinic LLC's NPI number?

The NPI number for Clinton Dialysis Clinic LLC is 1053705483. It was assigned to this organization in the NPPES registry on March 24, 2015.

Where is Clinton Dialysis Clinic LLC located?

Clinton Dialysis Clinic LLC is located at 103 Ab Jacks Rd, Clinton, SC 29325. The listed phone number is (864) 833-0150.

What is Clinton Dialysis Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Clinton Dialysis Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2095306) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Clinton Dialysis Clinic LLC a Medicare-certified dialysis facility?

Yes. Clinton Dialysis Clinic is a Medicare-certified dialysis facility, certified since January 7, 2016.

What quality rating does Clinton Dialysis Clinic LLC have?

CMS rates Clinton Dialysis Clinic 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Clinton Dialysis Clinic LLC accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Clinton Dialysis Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Dialysis Clinic LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.