11D0992305 CLIA NUMBER - DIALYSIS CLINIC INC LAFAYETTE

Laboratory Demographics

  • CLIA Code: 11D0992305
  • Facility Name: DIALYSIS CLINIC INC LAFAYETTE
  • Facility Address: 614 PATTERSON ROAD
    LAFAYETTE, GA
    ZIP 30728
  • Facility Phone: 706 638-6553
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSPEH T. WATLINGTON
  • NPI Number: 1164455549
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0992305
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC LAFAYETTE
Street 614 PATTERSON ROAD
City LAFAYETTE
State GA
ZIP 30728
Phone 706 638-6553
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 JOSPEH T. WATLINGTON

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