11D2169859 CLIA NUMBER - NEPHRON CORPORATION DIALYSIS CENTER OF ATHENS

Laboratory Demographics

CLIA Number: 11D2169859

Facility Name: NEPHRON CORPORATION DIALYSIS CENTER OF ATHENS

Facility Address:
210 HAWTHORNE PARK
ATHENS, GA
ZIP 30606
Get Directions

Facility Phone Number: 770 962-1231

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1104930023

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2169859
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NEPHRON CORPORATION DIALYSIS CENTER OF ATHENS
Street	210 HAWTHORNE PARK
City	ATHENS
State	GA
ZIP	30606
Phone	770 962-1231
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024