11D2171340 CLIA NUMBER - CAMP CREEK DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2171340
  • Facility Name: CAMP CREEK DIALYSIS
  • Facility Address: 3030 HEADLAND DRIVE, SW, SUITE C
    ATLANTA, GA
    ZIP 30311
  • Facility Phone: 404 349-6790
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DARIUSH BAHRAMI
  • NPI Number: 1013562818
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2171340
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAMP CREEK DIALYSIS
Street 3030 HEADLAND DRIVE, SW, SUITE C
City ATLANTA
State GA
ZIP 30311
Phone 404 349-6790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DARIUSH BAHRAMI

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