11D1048766 CLIA NUMBER - DSI MACON, LLC DBA US RENAL CARE MACON HEMLOCK DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1048766
  • Facility Name: DSI MACON, LLC DBA US RENAL CARE MACON HEMLOCK DIALYSIS
  • Facility Address: 657 HEMLOCK STREET, SUITE 100
    MACON, GA
    ZIP 31201
  • Facility Phone: 478 742-8001
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FRANKLIN FUENMAYOR-CARDOZO
  • NPI Number: 1114314598
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1048766
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI MACON, LLC DBA US RENAL CARE MACON HEMLOCK DIALYSIS
Street 657 HEMLOCK STREET, SUITE 100
City MACON
State GA
ZIP 31201
Phone 478 742-8001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FRANKLIN FUENMAYOR-CARDOZO

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