11D1107414 CLIA NUMBER - EMORY DIALYSIS AT GREENBRIAR

Laboratory Demographics

  • CLIA Code: 11D1107414
  • Facility Name: EMORY DIALYSIS AT GREENBRIAR
  • Facility Address: 1000 CENTRE PARKWAY, SUITE 180
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 336 748-0575
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TAHSIN MASUD MD
  • NPI Number: 1316180649
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1107414
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMORY DIALYSIS AT GREENBRIAR
Street 1000 CENTRE PARKWAY, SUITE 180
City EAST POINT
State GA
ZIP 30344
Phone 336 748-0575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TAHSIN MASUD MD

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