11D1091193 CLIA NUMBER - SNELLVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1091193
  • Facility Name: SNELLVILLE DIALYSIS
  • Facility Address: 2155 MAIN STREET E
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 470 520-2013
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AAKASH AMIN
  • NPI Number: 1861655870
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1091193
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SNELLVILLE DIALYSIS
Street 2155 MAIN STREET E
City SNELLVILLE
State GA
ZIP 30078
Phone 470 520-2013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AAKASH AMIN

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This page was last updated on: 6/4/2025