11D1104722 CLIA NUMBER - NORTH ATLANTA HOME TRAINING

Laboratory Demographics

  • CLIA Code: 11D1104722
  • Facility Name: NORTH ATLANTA HOME TRAINING
  • Facility Address: 1200 ALTMORE AVENUE, SUITE 110
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 250-0925
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH T. NGUYEN
  • NPI Number: 1467981068
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1104722
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH ATLANTA HOME TRAINING
Street 1200 ALTMORE AVENUE, SUITE 110
City ATLANTA
State GA
ZIP 30342
Phone 404 250-0925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ELIZABETH T. NGUYEN

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