11D2297145 CLIA NUMBER - DIALYSIS CARE CENTER DULUTH, LLC

Laboratory Demographics

  • CLIA Code: 11D2297145
  • Facility Name: DIALYSIS CARE CENTER DULUTH, LLC
  • Facility Address: 3980 ROGERS BRIDGE ROAD
    DULUTH, GA
    ZIP 30097
  • Facility Phone: 470 961-5700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AZEEM MOHAMMED
  • NPI Number: 1346004348
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2297145
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CARE CENTER DULUTH, LLC
Street 3980 ROGERS BRIDGE ROAD
City DULUTH
State GA
ZIP 30097
Phone 470 961-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AZEEM MOHAMMED

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