HARBIN CLINIC SUMMERVILLE DIALYSIS CENTER
NPI 1861680118
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Summerville, GA
About Harbin Clinic Summerville Dialysis Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARBIN CLINIC SUMMERVILLE DIALYSIS CENTER (NPI 1861680118) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Summerville, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Kenneth Franklin Davis, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 11D1019456
Harbin Clinic Summerville Family Practice Lab · Summerville, GAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMMERVILLE, GA 30747
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 Harbin Clinic, LLC's NPI number?
The NPI number for Harbin Clinic, LLC is 1861680118. It was assigned to this organization in the NPPES registry on October 11, 2007. The provider is doing business as Harbin Clinic Summerville Dialysis Center.
Where is Harbin Clinic, LLC located?
Harbin Clinic, LLC is located at 12541 Highway 27, Summerville, GA 30747. The listed phone number is (706) 238-8088.
What is Harbin 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 Harbin Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1019456) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Harbin Clinic, LLC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Harbin Clinic Summerville Dialysis Center · NPI 1861680118
End-Stage Renal Disease (ESRD) Treatment organization in Summerville, Georgia. Organization record, active in the CMS NPPES registry since October 11, 2007.
## Identity
- **NPI:** 1861680118 (Entity type: Organization)
- **Enumerated:** October 11, 2007
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Harbin Clinic, Llc
- **Organization subpart:** Yes (part of Harbin Clinic, Llc)
- **Authorized official:** Kenneth Davis, PRESIDENT & CEO
## Practice location
- **Address:** 12541 HIGHWAY 27, Summerville, GA 30747-5818
- **Phone:** (706) 238-8088
## Record status
- **NPPES last updated:** June 17, 2008
- **Other identifiers:** Medicare PIN 112795 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861680118) · Data from the CMS NPPES public registry.