11D2136981 CLIA NUMBER - TRINITY DIALYSIS CLINIC

Laboratory Demographics

  • CLIA Code: 11D2136981
  • Facility Name: TRINITY DIALYSIS CLINIC
  • Facility Address: 1354 CLEVELAND AVENUE
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 763-0405
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADETOLA C. AKINTADE
  • NPI Number: 1245227560
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2136981
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRINITY DIALYSIS CLINIC
Street 1354 CLEVELAND AVENUE
City EAST POINT
State GA
ZIP 30344
Phone 404 763-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADETOLA C. AKINTADE

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