11D2069030 CLIA NUMBER - SUGAR HILL DIAYSIS CENTER

Laboratory Demographics

  • CLIA Code: 11D2069030
  • Facility Name: SUGAR HILL DIAYSIS CENTER
  • Facility Address: 4585 NELSON BROGDON BLVD
    SUGAR HILL, GA
    ZIP 30518
  • Facility Phone: 770 962-1231
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KIRTI K. SHAH
  • NPI Number: 1386087989
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2069030
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SUGAR HILL DIAYSIS CENTER
Street 4585 NELSON BROGDON BLVD
City SUGAR HILL
State GA
ZIP 30518
Phone 770 962-1231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KIRTI K. SHAH

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