11D2016282 CLIA NUMBER - NEPHRON NORCROSS DIALYSIS CENTER

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Laboratory Demographics

CLIA Number: 11D2016282

Facility Name: NEPHRON NORCROSS DIALYSIS CENTER

Facility Address:
6060 SINGLETON ROAD, SUITE A
NORCROSS, GA
ZIP 30093
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Facility Phone Number: 770 962-1231

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1952613093

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2016282
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NEPHRON NORCROSS DIALYSIS CENTER
Street	6060 SINGLETON ROAD, SUITE A
City	NORCROSS
State	GA
ZIP	30093
Phone	770 962-1231
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024