11D0952098 CLIA NUMBER - COBB DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0952098
  • Facility Name: COBB DIALYSIS
  • Facility Address: 3885 MEDICAL PARK DRIVE, SUITE 110
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 770 941-3898
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANNA K. SCHULER
  • NPI Number: 1548297989
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0952098
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COBB DIALYSIS
Street 3885 MEDICAL PARK DRIVE, SUITE 110
City AUSTELL
State GA
ZIP 30106
Phone 770 941-3898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANNA K. SCHULER

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This page was last updated on: 9/29/2025