11D1107571 CLIA NUMBER - SNELLVILLE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 11D1107571
  • Facility Name: SNELLVILLE DIALYSIS CENTER
  • Facility Address: 2290 OAK ROAD
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 770 962-1231
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KIRTI K. SHAH MD
  • NPI Number: 1609007772
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1107571
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SNELLVILLE DIALYSIS CENTER
Street 2290 OAK ROAD
City SNELLVILLE
State GA
ZIP 30078
Phone 770 962-1231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
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