11D0979282 CLIA NUMBER - DCA OF SO GA, LLC D/B/A USRC SOUTH GEORGIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0979282
  • Facility Name: DCA OF SO GA, LLC D/B/A USRC SOUTH GEORGIA DIALYSIS
  • Facility Address: 3564 NORTH CROSSING CIRCLE, SUITE A
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 249-3222
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARUNAS URBONAS
  • NPI Number: 1790748101
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0979282
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DCA OF SO GA, LLC D/B/A USRC SOUTH GEORGIA DIALYSIS
Street 3564 NORTH CROSSING CIRCLE, SUITE A
City VALDOSTA
State GA
ZIP 31602
Phone 229 249-3222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARUNAS URBONAS

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