11D0662695 CLIA NUMBER - DIALYSIS CLINIC INC (DCI) CRAWFORD

Laboratory Demographics

  • CLIA Code: 11D0662695
  • Facility Name: DIALYSIS CLINIC INC (DCI) CRAWFORD
  • Facility Address: 240 PONCE DE LEON AVE
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 230-2959
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RANA TERRELL
  • NPI Number: 1124362561
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0662695
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC (DCI) CRAWFORD
Street 240 PONCE DE LEON AVE
City ATLANTA
State GA
ZIP 30308
Phone 404 230-2959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RANA TERRELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025