11D1004865 CLIA NUMBER - NEWNAN DIALYSIS SERVICES

Laboratory Demographics

  • CLIA Code: 11D1004865
  • Facility Name: NEWNAN DIALYSIS SERVICES
  • Facility Address: 101 WERZ INDUSTRIAL DRIVE ATTN TERESA YOUNG, RN
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 770 251-7896
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHAZIA KHAN MD
  • NPI Number: 1194704957
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1004865
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEWNAN DIALYSIS SERVICES
Street 101 WERZ INDUSTRIAL DRIVE ATTN TERESA YOUNG, RN
City NEWNAN
State GA
ZIP 30263
Phone 770 251-7896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHAZIA KHAN MD

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