11D2054582 CLIA NUMBER - COLUMBUS HOME TRAINING

Laboratory Demographics

  • CLIA Code: 11D2054582
  • Facility Name: COLUMBUS HOME TRAINING
  • Facility Address: 1200 BROOKSTONE CENTRE PKWY, SUITE 111
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 706 322-2935
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. TAMORIE L. SMITH
  • NPI Number: 1710226915
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2054582
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLUMBUS HOME TRAINING
Street 1200 BROOKSTONE CENTRE PKWY, SUITE 111
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 706 322-2935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. TAMORIE L. SMITH

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