11D0900484 CLIA NUMBER - LINDEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0900484
  • Facility Name: LINDEN DIALYSIS
  • Facility Address: 121 LINDEN AVENUE
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 817-9700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM CLEVELAND
  • NPI Number: 1710946900
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0900484
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LINDEN DIALYSIS
Street 121 LINDEN AVENUE
City ATLANTA
State GA
ZIP 30308
Phone 404 817-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2023
Certificate Expiration Date 4/27/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM CLEVELAND

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