11D0992304 CLIA NUMBER - DIALYSIS CLINIC INC FT OGLETHROPE

Laboratory Demographics

  • CLIA Code: 11D0992304
  • Facility Name: DIALYSIS CLINIC INC FT OGLETHROPE
  • Facility Address: 201 THOMAS ROAD
    FORT OGLETHORPE, GA
    ZIP 30742
  • Facility Phone: 706 861-6668
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH T. WATLINGTON
  • NPI Number: 1093748477
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0992304
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC FT OGLETHROPE
Street 201 THOMAS ROAD
City FORT OGLETHORPE
State GA
ZIP 30742
Phone 706 861-6668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOSEPH T. WATLINGTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025