11D0900484 CLIA NUMBER - LINDEN DIALYSIS

Laboratory Demographics

CLIA Number: 11D0900484

Facility Name: LINDEN DIALYSIS

Facility Address:
121 LINDEN AVENUE
ATLANTA, GA
ZIP 30308
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Facility Phone Number: 404 817-9700

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1710946900

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024