11D0957850 CLIA NUMBER - CENTENNIAL ATLANTA DYALYSIS

Laboratory Demographics

  • CLIA Code: 11D0957850
  • Facility Name: CENTENNIAL ATLANTA DYALYSIS
  • Facility Address: 418 DECATUR STREET, SE
    ATLANTA, GA
    ZIP 30312
  • Facility Phone: 404 872-5311
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MUHAMMED A. MUHAMMEDI
  • NPI Number: 1376521930
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0957850
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTENNIAL ATLANTA DYALYSIS
Street 418 DECATUR STREET, SE
City ATLANTA
State GA
ZIP 30312
Phone 404 872-5311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MUHAMMED A. MUHAMMEDI

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