11D2243183 CLIA NUMBER - COWRY KIDNEY CARE DOUGLASVILLE

Laboratory Demographics

  • CLIA Code: 11D2243183
  • Facility Name: COWRY KIDNEY CARE DOUGLASVILLE
  • Facility Address: 8570 HOSPITAL DRIVE
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 470 227-8130
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHINEDU P. NWEKE
  • NPI Number: 1316600067
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2243183
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COWRY KIDNEY CARE DOUGLASVILLE
Street 8570 HOSPITAL DRIVE
City DOUGLASVILLE
State GA
ZIP 30134
Phone 470 227-8130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHINEDU P. NWEKE

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