11D2080869 CLIA NUMBER - SUMTER COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2080869
  • Facility Name: SUMTER COUNTY DIALYSIS
  • Facility Address: 1432 E FORSYTH ST
    AMERICUS, GA
    ZIP 31709
  • Facility Phone: 229 924-9709
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED ALAM
  • NPI Number: 1386069649
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2080869
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SUMTER COUNTY DIALYSIS
Street 1432 E FORSYTH ST
City AMERICUS
State GA
ZIP 31709
Phone 229 924-9709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYED ALAM

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