11D2143149 CLIA NUMBER - DULUTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2143149
  • Facility Name: DULUTH DIALYSIS
  • Facility Address: 3170 PEACHTREE INDUSTRIAL BLVD, SUITE 100
    DULUTH, GA
    ZIP 30097
  • Facility Phone: 770 232-5219
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: KHALED NASS
  • NPI Number: 1124528831
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2143149
LAB Type Health Fair
Facility Name DULUTH DIALYSIS
Street 3170 PEACHTREE INDUSTRIAL BLVD, SUITE 100
City DULUTH
State GA
ZIP 30097
Phone 770 232-5219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Health Fair
Lab Director KHALED NASS

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