11D2127097 CLIA NUMBER - ROCKBRIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2127097
  • Facility Name: ROCKBRIDGE DIALYSIS
  • Facility Address: 8032 ROCKBRIDGE ROAD
    LITHONIA, GA
    ZIP 30058
  • Facility Phone: 678 526-8340
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM G. PAXTON
  • NPI Number: 1578009395
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2127097
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROCKBRIDGE DIALYSIS
Street 8032 ROCKBRIDGE ROAD
City LITHONIA
State GA
ZIP 30058
Phone 678 526-8340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM G. PAXTON

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