11D0988175 CLIA NUMBER - USRC WOODSTOCK, LLC DBA RENAL CARE WOODSTOCK DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0988175
  • Facility Name: USRC WOODSTOCK, LLC DBA RENAL CARE WOODSTOCK DIALYSIS
  • Facility Address: 2001 PROFESSIONAL PARKWAY, SUITE 100
    WOODSTOCK, GA
    ZIP 30188
  • Facility Phone: 678 494-1171
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SALVATORE CHILLEMI
  • NPI Number: 1093237836
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0988175
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC WOODSTOCK, LLC DBA RENAL CARE WOODSTOCK DIALYSIS
Street 2001 PROFESSIONAL PARKWAY, SUITE 100
City WOODSTOCK
State GA
ZIP 30188
Phone 678 494-1171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SALVATORE CHILLEMI

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