11D1084853 CLIA NUMBER - POOLER DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1084853
  • Facility Name: POOLER DIALYSIS
  • Facility Address: 54 TRADERS WAY
    POOLER, GA
    ZIP 31322
  • Facility Phone: 912 748-1018
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FLORIN C. GEORGESCU
  • NPI Number: 1720245152
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1084853
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name POOLER DIALYSIS
Street 54 TRADERS WAY
City POOLER
State GA
ZIP 31322
Phone 912 748-1018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FLORIN C. GEORGESCU

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