11D0957936 CLIA NUMBER - DSI MACON, LLC DBA US RENAL CARE FORSYTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0957936
  • Facility Name: DSI MACON, LLC DBA US RENAL CARE FORSYTH DIALYSIS
  • Facility Address: 91 MARTIN LUTHER KING JR DR
    FORSYTH, GA
    ZIP 31029
  • Facility Phone: 478 994-6488
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. IHAB Z. ZAGGOUT
  • NPI Number: 1770970147
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0957936
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI MACON, LLC DBA US RENAL CARE FORSYTH DIALYSIS
Street 91 MARTIN LUTHER KING JR DR
City FORSYTH
State GA
ZIP 31029
Phone 478 994-6488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. IHAB Z. ZAGGOUT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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