11D1079625 CLIA NUMBER - CORDELE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 11D1079625
  • Facility Name: CORDELE DIALYSIS CENTER
  • Facility Address: 1013 E 16 AVENUE
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 273-0163
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: GUIDO H. RING MD
  • NPI Number: 1770763567
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1079625
LAB Type Blood Bank
Facility Name CORDELE DIALYSIS CENTER
Street 1013 E 16 AVENUE
City CORDELE
State GA
ZIP 31015
Phone 229 273-0163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Blood Bank
Lab Director GUIDO H. RING MD

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