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DIALYSIS CLINIC INC
NPI 1356753586
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Geneva, AL

Active since May 22, 2014CLIA 01D1030603 · Waiver
100 W LAKE PROFESSIONAL PARK, SUITE 7, GENEVA, AL 36340(334) 684-0175(334) 684-0368 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Jul 11, 2019 (2 updates tracked since 2019).

About Dialysis Clinic Inc NPPES

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

DIALYSIS CLINIC INC (NPI 1356753586) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Geneva, Alabama and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1356753586
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSIS CLINIC INC
Location Address100 W LAKE PROFESSIONAL PARK, SUITE 7Geneva, AL 36340-1203
Mailing Address1630 Columbia HwyDothan, AL 36303-5434 · (334) 793-3519 · Fax (334) 699-2860
Phone(334) 684-0175
Fax(334) 684-0368
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateMay 22, 2014
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1356753586 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
100 W LAKE PROFESSIONAL PARK, Geneva, AL 36340
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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 01D1030603

Dialysis Clinic Inc · Dothan, AL
Active · expires Sep 9, 2026
CLIA Number01D1030603
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorRavindranath Kantamneni
Laboratory Phone(334) 793-3519
Laboratory LocationDialysis Clinic Inc1630 Columbia Highway, Dothan, AL 36303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHUM MEDICAL CLINIC, INC.
Family Medicine
100 W LAKE PROFESSIONAL PARK
GENEVA, AL 36340
Geneva County (334) 684-9400
MRS. BROOKE D MAJORS LPTA
Physical Therapy Assistant
100 W LAKE PROFESSIONAL PARK, SUITE5
GENEVA, AL 36340
Geneva County (334) 684-3919
DR DALE MITCHUM INC
Specialist
100 W LAKE PROFESSIONAL PARK, SUITE #2
GENEVA, AL 36340
Geneva County (334) 684-3007
GENEVA FAMILY DENTISTRY, LLC
Dentist
100 W LAKE PROFESSIONAL PARK, SUITE 5
GENEVA, AL 36340
Geneva County (334) 805-3975

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 Dialysis Clinic Inc's NPI number?

The NPI number for Dialysis Clinic Inc is 1356753586. It was assigned to this organization in the NPPES registry on May 22, 2014.

Where is Dialysis Clinic Inc located?

Dialysis Clinic Inc is located at 100 W Lake Professional Park Suite 7, Geneva, AL 36340. The listed phone number is (334) 684-0175.

What is Dialysis Clinic Inc'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 Dialysis Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1030603) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dialysis Clinic Inc was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.