11D0892013 CLIA NUMBER - DIALYSIS CENTER OF MIDDLE GEORGIA MACON

Laboratory Demographics

  • CLIA Code: 11D0892013
  • Facility Name: DIALYSIS CENTER OF MIDDLE GEORGIA MACON
  • Facility Address: 2494 SECOND STREET
    MACON, GA
    ZIP 31206
  • Facility Phone: 478 742-4211
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SWATHI SINGANAMALA
  • NPI Number: 1710956750
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0892013
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CENTER OF MIDDLE GEORGIA MACON
Street 2494 SECOND STREET
City MACON
State GA
ZIP 31206
Phone 478 742-4211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SWATHI SINGANAMALA

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