11D2098806 CLIA NUMBER - DSI DEKALB, LLC DBA US RENAL CARE DEKALB DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2098806
  • Facility Name: DSI DEKALB, LLC DBA US RENAL CARE DEKALB DIALYSIS
  • Facility Address: 4570- B MEMORIAL DRIVE
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 404 720-8154
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SITHARAM C. NANDIGAM
  • NPI Number: 1699165290
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2098806
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI DEKALB, LLC DBA US RENAL CARE DEKALB DIALYSIS
Street 4570- B MEMORIAL DRIVE
City DECATUR
State GA
ZIP 30032
Phone 404 720-8154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SITHARAM C. NANDIGAM

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