11D0971948 CLIA NUMBER - PERRY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 11D0971948
  • Facility Name: PERRY DIALYSIS CENTER
  • Facility Address: 1014 KEITH DRIVE
    PERRY, GA
    ZIP 31069
  • Facility Phone: 478 777-8082
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS MARTINEZ
  • NPI Number: 1922076108
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0971948
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PERRY DIALYSIS CENTER
Street 1014 KEITH DRIVE
City PERRY
State GA
ZIP 31069
Phone 478 777-8082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARLOS MARTINEZ

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