11D0993809 CLIA NUMBER - USRC COVINGTON, LLC

Laboratory Demographics

  • CLIA Code: 11D0993809
  • Facility Name: USRC COVINGTON, LLC
  • Facility Address: 4179 BAKER STREET, NE
    COVINGTON, GA
    ZIP 30014
  • Facility Phone: (770) 385-4015
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAYO FALASE
  • NPI Number: 1184154148
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0993809
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC COVINGTON, LLC
Street 4179 BAKER STREET, NE
City COVINGTON
State GA
ZIP 30014
Phone 7703854015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2025
Certificate Expiration Date 11/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAYO FALASE

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This page was last updated on: 5/18/2026