11D2214604 CLIA NUMBER - EVANS DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 11D2214604
  • Facility Name: EVANS DIALYSIS CENTER LLC
  • Facility Address: 398 TOWN PARK BOULEVARD, SUITE A
    EVANS, GA
    ZIP 30809
  • Facility Phone: 978 778-0588
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BART BREZINA
  • NPI Number: 1447849229
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2214604
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EVANS DIALYSIS CENTER LLC
Street 398 TOWN PARK BOULEVARD, SUITE A
City EVANS
State GA
ZIP 30809
Phone 978 778-0588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BART BREZINA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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