11D1048890 CLIA NUMBER - FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD

Laboratory Demographics

  • CLIA Code: 11D1048890
  • Facility Name: FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD
  • Facility Address: 2841 DEANS BRIDGE ROAD
    AUGUSTA, GA
    ZIP 30906
  • Facility Phone: 706 790-5909
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VIRIN R. RAMOUTAR
  • NPI Number: 1073560611
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1048890
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD
Street 2841 DEANS BRIDGE ROAD
City AUGUSTA
State GA
ZIP 30906
Phone 706 790-5909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VIRIN R. RAMOUTAR

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