11D2138805 CLIA NUMBER - EMORY DIALYSIS AT NORTH DECATUR

Laboratory Demographics

  • CLIA Code: 11D2138805
  • Facility Name: EMORY DIALYSIS AT NORTH DECATUR
  • Facility Address: 2165 NORTH DECATUR ROAD, SUITE 100
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 404 251-2330
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JEFF M. SANDS
  • NPI Number: 1225552391
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2138805
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMORY DIALYSIS AT NORTH DECATUR
Street 2165 NORTH DECATUR ROAD, SUITE 100
City DECATUR
State GA
ZIP 30033
Phone 404 251-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JEFF M. SANDS

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This page was last updated on: 6/4/2025