11D2163419 CLIA NUMBER - RENAL ASSOCIATES OF ALBANY, LLC

Laboratory Demographics

  • CLIA Code: 11D2163419
  • Facility Name: RENAL ASSOCIATES OF ALBANY, LLC
  • Facility Address: 110 LOGAN COURT
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 706 322-1486
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALCAIDE Q. FERDINAND
  • NPI Number: 1205944311
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2163419
LAB Type Physician Office
Facility Name RENAL ASSOCIATES OF ALBANY, LLC
Street 110 LOGAN COURT
City ALBANY
State GA
ZIP 31707
Phone 706 322-1486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director ALCAIDE Q. FERDINAND

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