11D2165570 CLIA NUMBER - SANDY PLAINS DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2165570
  • Facility Name: SANDY PLAINS DIALYSIS
  • Facility Address: 2550 SANDY PLAINS ROAD, SUITE 160
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: 770 509-1065
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARMAINE J. EMELIFE
  • NPI Number: 1053976613
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2165570
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SANDY PLAINS DIALYSIS
Street 2550 SANDY PLAINS ROAD, SUITE 160
City MARIETTA
State GA
ZIP 30066
Phone 770 509-1065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARMAINE J. EMELIFE

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