11D0646149 CLIA NUMBER - AMERICUS DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0646149
  • Facility Name: AMERICUS DIALYSIS
  • Facility Address: 227 N LEE STREET
    AMERICUS, GA
    ZIP 31709
  • Facility Phone: 912 928-2257
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED ALAM MD
  • NPI Number: 1639227960
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0646149
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AMERICUS DIALYSIS
Street 227 N LEE STREET
City AMERICUS
State GA
ZIP 31709
Phone 912 928-2257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYED ALAM MD

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This page was last updated on: 3/20/2025