11D2050139 CLIA NUMBER - WALTON COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2050139
  • Facility Name: WALTON COUNTY DIALYSIS
  • Facility Address: 225 PLAZA DRIVE
    MONROE, GA
    ZIP 30655
  • Facility Phone: 770 207-6942
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RENE MACKAY
  • NPI Number: 1285988238
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2050139
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WALTON COUNTY DIALYSIS
Street 225 PLAZA DRIVE
City MONROE
State GA
ZIP 30655
Phone 770 207-6942
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 DR. RENE MACKAY

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