11D1099369 CLIA NUMBER - DULUTH DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 11D1099369
  • Facility Name: DULUTH DIALYSIS CENTER
  • Facility Address: 3770 HOWELL PERRY ROAD
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 495-0410
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KIRTI K. SHAH MD
  • NPI Number: 1962658807
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1099369
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DULUTH DIALYSIS CENTER
Street 3770 HOWELL PERRY ROAD
City DULUTH
State GA
ZIP 30096
Phone 678 495-0410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KIRTI K. SHAH MD

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