11D2119125 CLIA NUMBER - DSI SNELLVILLE, LLC DBA U S RENAL CARE SNELLVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2119125
  • Facility Name: DSI SNELLVILLE, LLC DBA U S RENAL CARE SNELLVILLE DIALYSIS
  • Facility Address: 3370 SUGARLOAF PARKWAY
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: 770 225-0827
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DIVAKAR JAMMALAMADAKA
  • NPI Number: 1952859209
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2119125
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI SNELLVILLE, LLC DBA U S RENAL CARE SNELLVILLE DIALYSIS
Street 3370 SUGARLOAF PARKWAY
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 770 225-0827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DIVAKAR JAMMALAMADAKA

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