11D0997272 CLIA NUMBER - ARA AUGUSTA CLINIC LLC DBA NCA AUGUSTA

Laboratory Demographics

  • CLIA Code: 11D0997272
  • Facility Name: ARA AUGUSTA CLINIC LLC DBA NCA AUGUSTA
  • Facility Address: 1000 TELFAIR STREET
    AUGUSTA, GA
    ZIP 30901
  • Facility Phone: 706 774-0130
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DON E. WILLIAMSON
  • NPI Number: 1194772947
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0997272
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ARA AUGUSTA CLINIC LLC DBA NCA AUGUSTA
Street 1000 TELFAIR STREET
City AUGUSTA
State GA
ZIP 30901
Phone 706 774-0130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DON E. WILLIAMSON

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