11D2173333 CLIA NUMBER - CC&D SERVICES

Laboratory Demographics

  • CLIA Code: 11D2173333
  • Facility Name: CC&D SERVICES
  • Facility Address: 5040 SNAPFINGER WOODS DRIVE, SUITE 108
    DECATUR, GA
    ZIP 30035
  • Facility Phone: 470 709-2915
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DARREN CARTER
  • NPI Number: 1528621042
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2173333
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CC&D SERVICES
Street 5040 SNAPFINGER WOODS DRIVE, SUITE 108
City DECATUR
State GA
ZIP 30035
Phone 470 709-2915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DARREN CARTER

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This page was last updated on: 6/4/2025