11D2114617 CLIA NUMBER - SENOIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2114617
  • Facility Name: SENOIA DIALYSIS
  • Facility Address: 105 VILLAGE CIRCLE
    SENOIA, GA
    ZIP 30276
  • Facility Phone: 770 599-0242
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID YOO
  • NPI Number: 1144676040
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2114617
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SENOIA DIALYSIS
Street 105 VILLAGE CIRCLE
City SENOIA
State GA
ZIP 30276
Phone 770 599-0242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID YOO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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