11D2141435 CLIA NUMBER - BALDWIN DIAYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2141435
  • Facility Name: BALDWIN DIAYSIS CENTER, LLC
  • Facility Address: 1302 NORTH COLUMBIA STREET
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 978 778-0352
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAGHIR AHMED
  • NPI Number: 1457862740
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2141435
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BALDWIN DIAYSIS CENTER, LLC
Street 1302 NORTH COLUMBIA STREET
City MILLEDGEVILLE
State GA
ZIP 31061
Phone 978 778-0352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAGHIR AHMED

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