11D0969344 CLIA NUMBER - UNION COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0969344
  • Facility Name: UNION COUNTY DIALYSIS
  • Facility Address: 72 APPALACHIAN AVENUE
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 835-1925
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALON J. VAINER
  • NPI Number: 1801886759
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0969344
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNION COUNTY DIALYSIS
Street 72 APPALACHIAN AVENUE
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 835-1925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALON J. VAINER

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