11D0692406 CLIA NUMBER - GEORGIA NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 11D0692406
  • Facility Name: GEORGIA NEPHROLOGY
  • Facility Address: 497 WINN WAY SUITE A-210
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 645-7100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN MURO
  • NPI Number: 1063422723
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0692406
LAB Type Physician Office
Facility Name GEORGIA NEPHROLOGY
Street 497 WINN WAY SUITE A-210
City DECATUR
State GA
ZIP 30030
Phone 404 645-7100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director KAREN MURO

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