11D1075548 CLIA NUMBER - ATHENS EAST DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1075548
  • Facility Name: ATHENS EAST DIALYSIS
  • Facility Address: 2026 S MILLEDGE AVENUE SUITE A 2
    ATHENS, GA
    ZIP 30605
  • Facility Phone: (706) 549-3082
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD BASHIR
  • NPI Number: 1558556514
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1075548
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ATHENS EAST DIALYSIS
Street 2026 S MILLEDGE AVENUE SUITE A 2
City ATHENS
State GA
ZIP 30605
Phone 7065493082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2025
Certificate Expiration Date 11/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MUHAMMAD BASHIR

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This page was last updated on: 5/18/2026