11D2030545 CLIA NUMBER - DUBLIN DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2030545
  • Facility Name: DUBLIN DIALYSIS CENTER, LLC
  • Facility Address: 2400 BELLEVUE ROAD, SUITE 29-A
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 304-1501
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS O. MARTINEZ
  • NPI Number: 1396023404
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2030545
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DUBLIN DIALYSIS CENTER, LLC
Street 2400 BELLEVUE ROAD, SUITE 29-A
City DUBLIN
State GA
ZIP 31021
Phone 478 304-1501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARLOS O. MARTINEZ

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