11D2050093 CLIA NUMBER - DSI CONYERS, LLC D/B/A U S RENAL CARE CONYERS DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2050093
  • Facility Name: DSI CONYERS, LLC D/B/A U S RENAL CARE CONYERS DIALYSIS
  • Facility Address: 1927 HIGHWAY 138 NE
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 770 483-6124
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SITHRAM NANDIGAM
  • NPI Number: 1063763274
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2050093
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI CONYERS, LLC D/B/A U S RENAL CARE CONYERS DIALYSIS
Street 1927 HIGHWAY 138 NE
City CONYERS
State GA
ZIP 30013
Phone 770 483-6124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SITHRAM NANDIGAM

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