11D1048912 CLIA NUMBER - BUFORD DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1048912
  • Facility Name: BUFORD DIALYSIS
  • Facility Address: 1550 BUFORD HIGHWAY, SUITE 1 E
    BUFORD, GA
    ZIP 30518
  • Facility Phone: 770 813-2379
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID C. TONG
  • NPI Number: 1922052174
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1048912
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BUFORD DIALYSIS
Street 1550 BUFORD HIGHWAY, SUITE 1 E
City BUFORD
State GA
ZIP 30518
Phone 770 813-2379
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 DAVID C. TONG

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