11D2016474 CLIA NUMBER - NORTH CARROLLTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2016474
  • Facility Name: NORTH CARROLLTON DIALYSIS
  • Facility Address: 195 PARKWOOD CIR
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 832-8959
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KHALID IQBAL
  • NPI Number: 1124329982
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2016474
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH CARROLLTON DIALYSIS
Street 195 PARKWOOD CIR
City CARROLLTON
State GA
ZIP 30117
Phone 770 832-8959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KHALID IQBAL

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