11D1091195 CLIA NUMBER - KENNESTONE DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D1091195
  • Facility Name: KENNESTONE DIALYSIS
  • Facility Address: 200 N COBB PARKWAY SUITE 318
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 678 797-1110
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: UNO O. BARCELLI MD
  • NPI Number: 1558524546
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1091195
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENNESTONE DIALYSIS
Street 200 N COBB PARKWAY SUITE 318
City MARIETTA
State GA
ZIP 30062
Phone 678 797-1110
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 UNO O. BARCELLI MD

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