11D0927486 CLIA NUMBER - ATLANTA WEST DIALYSIS

Laboratory Demographics

CLIA Number: 11D0927486

Facility Name: ATLANTA WEST DIALYSIS

Facility Address:
2538 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30311
Get Directions

Facility Phone Number: 404 699-2800

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1578532578

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0927486
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ATLANTA WEST DIALYSIS
Street	2538 MARTIN LUTHER KING JR DR SW
City	ATLANTA
State	GA
ZIP	30311
Phone	404 699-2800
CertificateType	4
CertificateEffectiveDate	4/22/2023
CertificateExpirationDate	4/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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