11D2118742 CLIA NUMBER - NORTHEAST GEORGIA HOME TRAINING

Laboratory Demographics

  • CLIA Code: 11D2118742
  • Facility Name: NORTHEAST GEORGIA HOME TRAINING
  • Facility Address: 1485 JESSE JEWELL PKWY NE, STE 260
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 297-0547
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK KATS
  • NPI Number: 1184177594
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2118742
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHEAST GEORGIA HOME TRAINING
Street 1485 JESSE JEWELL PKWY NE, STE 260
City GAINESVILLE
State GA
ZIP 30501
Phone 770 297-0547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK KATS

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