11D1056455 CLIA NUMBER - ATHENS KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 11D1056455
  • Facility Name: ATHENS KIDNEY CENTER
  • Facility Address: 1440 NORTH CHASE STREET
    ATHENS, GA
    ZIP 30601
  • Facility Phone: 706 227-2110
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BEZE A. ADOGU
  • NPI Number: 1699286526
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1056455
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ATHENS KIDNEY CENTER
Street 1440 NORTH CHASE STREET
City ATHENS
State GA
ZIP 30601
Phone 706 227-2110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BEZE A. ADOGU

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