SOUTHEASTERN RENAL DIALYSIS L.C.
NPI 1144490178
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fairfield, IA

Q: What is Southeastern Renal Dialysis L.C.'s NPI number?

The NPI number for Southeastern Renal Dialysis L.C. is 1144490178. It was assigned to this organization in the NPPES registry on March 5, 2008.

Q: What is Southeastern Renal Dialysis L.C.'s specialty?

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

Q: What quality rating does Southeastern Renal Dialysis L.C. have?

CMS rates Southeastern Renal Dialysis, L.C. - Fairfield 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since March 05, 2008CLIA 16D2341154 · Waiver

5/5

Overall Rating

2000 A S MAIN ST, FAIRFIELD, IA 52556(641) 469-3313 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeastern Renal Dialysis L.c. NPPES

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

SOUTHEASTERN RENAL DIALYSIS L.C. (NPI 1144490178) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fairfield, Iowa and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Mary Liechty, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144490178

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameSOUTHEASTERN RENAL DIALYSIS L.C.

Location Address2000 A S MAIN STFairfield, IA 52556

Mailing Address507 S White StMt Pleasant, IA 52641-2625

Phone(641) 469-3313

Organization SubpartYes

Authorized OfficialMary LiechtyAdministrator · (319) 385-6728

Enumeration DateMarch 5, 2008

Last NPPES UpdateJuly 21, 2022

✔ NPI 1144490178 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

2000 A S MAIN ST, Fairfield, IA 52556

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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 16D2341154

Southeastern Renal Dialysis · Fairfield, IA

Active · expires Mar 26, 2028

CLIA Number16D2341154

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMarch 27, 2026

Certificate Expiration DateMarch 26, 2028

Laboratory DirectorKimberly M. Dewalt

Laboratory Phone(641) 469-3313

Laboratory LocationSoutheastern Renal Dialysis2000A South Main, Fairfield, IA 52556

CLIA data matches this NPI record on: 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 Southeastern Renal Dialysis, L.C. - Fairfield (CMS certification number 162540), from CMS Care Compare.

Southeastern Renal Dialysis, L.C. - Fairfield

Dialysis facility · Fairfield, IA

5/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

CMS Certification Number162540

ESRD NetworkNetwork 12

Hemodialysis Stations10

Medicare-Certified SinceFebruary 9, 2009

Location2000 S Main StFairfield, IA 52556 · Jefferson County

Phone(641) 469-3313

Services Offered

In-center hemodialysis

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 Southeastern Renal Dialysis L.C.'s NPI number?

The NPI number for Southeastern Renal Dialysis L.C. is 1144490178. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Southeastern Renal Dialysis L.C. located?

Southeastern Renal Dialysis L.C. is located at 2000 A S Main St, Fairfield, IA 52556. The listed phone number is (641) 469-3313.

What is Southeastern Renal Dialysis L.C.'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 Southeastern Renal Dialysis L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2341154) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Southeastern Renal Dialysis L.C. a Medicare-certified dialysis facility?

Yes. Southeastern Renal Dialysis, L.C. - Fairfield is a Medicare-certified dialysis facility, certified since February 9, 2009.

What quality rating does Southeastern Renal Dialysis L.C. have?

CMS rates Southeastern Renal Dialysis, L.C. - Fairfield 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Southeastern Renal Dialysis L.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.