11D0990748 CLIA NUMBER - SPALDING COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0990748
  • Facility Name: SPALDING COUNTY DIALYSIS
  • Facility Address: 744 SOUTH 8TH STREET
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 770 467-8116
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMED KASSEM MD
  • NPI Number: 1023058898
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0990748
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPALDING COUNTY DIALYSIS
Street 744 SOUTH 8TH STREET
City GRIFFIN
State GA
ZIP 30224
Phone 770 467-8116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMED KASSEM MD

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