11D2293284 CLIA NUMBER - DIALYSIS CARE CENTER LAGRANGE, LLC

Laboratory Demographics

  • CLIA Code: 11D2293284
  • Facility Name: DIALYSIS CARE CENTER LAGRANGE, LLC
  • Facility Address: 109 PARKER DRIVE
    LAGRANGE, GA
    ZIP 30240
  • Facility Phone: 708 645-1000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASHISH DHUNGEL
  • NPI Number: 1548032360
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2293284
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CARE CENTER LAGRANGE, LLC
Street 109 PARKER DRIVE
City LAGRANGE
State GA
ZIP 30240
Phone 708 645-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASHISH DHUNGEL

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