11D1071394 CLIA NUMBER - NORTH HENRY DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1071394
  • Facility Name: NORTH HENRY DIALYSIS
  • Facility Address: 3546 HIGHWAY 138 SE
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 506-9277
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MUHAMMED H. RAHMAN
  • NPI Number: 1366646010
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1071394
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH HENRY DIALYSIS
Street 3546 HIGHWAY 138 SE
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 506-9277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MUHAMMED H. RAHMAN

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