11D2047030 CLIA NUMBER - DSI KENNESAW, LLC D/B/A U S RENAL CARE KENNESAW HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2047030
  • Facility Name: DSI KENNESAW, LLC D/B/A U S RENAL CARE KENNESAW HOME DIALYSIS
  • Facility Address: 1925 VAUGHN ROAD, SUITE 150
    KENNESAW, GA
    ZIP 30144
  • Facility Phone: 214 736-2700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MS. DINESH K. BHATIA
  • NPI Number: 1194071183
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2047030
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI KENNESAW, LLC D/B/A U S RENAL CARE KENNESAW HOME DIALYSIS
Street 1925 VAUGHN ROAD, SUITE 150
City KENNESAW
State GA
ZIP 30144
Phone 214 736-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MS. DINESH K. BHATIA

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