11D2066342 CLIA NUMBER - SOUTH FULTON HOME TRAINING

Laboratory Demographics

  • CLIA Code: 11D2066342
  • Facility Name: SOUTH FULTON HOME TRAINING
  • Facility Address: 1275 CLEVELAND AVENUE, #1
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 305-9080
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. IQBAL KHALID
  • NPI Number: 1326480567
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2066342
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH FULTON HOME TRAINING
Street 1275 CLEVELAND AVENUE, #1
City EAST POINT
State GA
ZIP 30344
Phone 404 305-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. IQBAL KHALID

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