11D1107415 CLIA NUMBER - EMORY DIALYSIS AT CANDLER

Laboratory Demographics

  • CLIA Code: 11D1107415
  • Facility Name: EMORY DIALYSIS AT CANDLER
  • Facility Address: 2726 CANDLER ROAD
    DECATUR, GA
    ZIP 30034
  • Facility Phone: 336 748-0575
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES SOMEREN MD
  • NPI Number: 1972746204
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1107415
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMORY DIALYSIS AT CANDLER
Street 2726 CANDLER ROAD
City DECATUR
State GA
ZIP 30034
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 JAMES SOMEREN MD

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