11D2097925 CLIA NUMBER - FRESENIUS KIDNEY CARE GORDON COUNTY

Laboratory Demographics

  • CLIA Code: 11D2097925
  • Facility Name: FRESENIUS KIDNEY CARE GORDON COUNTY
  • Facility Address: 857 CURTIS PARKWAY, SE
    CALHOUN, GA
    ZIP 30701
  • Facility Phone: 706 602-3866
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MMUHAMMAD RASHID ISHAQUE
  • NPI Number: 1063239325
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2097925
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE GORDON COUNTY
Street 857 CURTIS PARKWAY, SE
City CALHOUN
State GA
ZIP 30701
Phone 706 602-3866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2023
Certificate Expiration Date 6/25/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MMUHAMMAD RASHID ISHAQUE

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This page was last updated on: 3/20/2025