11D2087060 CLIA NUMBER - WARNER ROBINS DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2087060
  • Facility Name: WARNER ROBINS DIALYSIS CENTER, LLC
  • Facility Address: 105 TOMMY STALNAKER DR STE 100
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 953-3638
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMD ASLAM
  • NPI Number: 1578967691
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2087060
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WARNER ROBINS DIALYSIS CENTER, LLC
Street 105 TOMMY STALNAKER DR STE 100
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 953-3638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMD ASLAM

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