11D1099478 CLIA NUMBER - COMMERCE KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 11D1099478
  • Facility Name: COMMERCE KIDNEY CENTER
  • Facility Address: 592 BRIDGEWAY ROAD
    COMMERCE, GA
    ZIP 30529
  • Facility Phone: 706 335-6665
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AZUBEZE A. ADOGU
  • NPI Number: 1659468056
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1099478
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMMERCE KIDNEY CENTER
Street 592 BRIDGEWAY ROAD
City COMMERCE
State GA
ZIP 30529
Phone 706 335-6665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AZUBEZE A. ADOGU

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