11D2161001 CLIA NUMBER - DUBLIN KIDNEY INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 11D2161001
  • Facility Name: DUBLIN KIDNEY INSTITUTE, LLC
  • Facility Address: 207 INDUSTRIAL BLVD
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 353-3575
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REUBEN KRIS ELLIS
  • NPI Number: 1619473352
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2161001
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DUBLIN KIDNEY INSTITUTE, LLC
Street 207 INDUSTRIAL BLVD
City DUBLIN
State GA
ZIP 31021
Phone 478 353-3575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REUBEN KRIS ELLIS

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