11D2320704 CLIA NUMBER - DIALYZE DIRECT-GA LLC

Laboratory Demographics

  • CLIA Code: 11D2320704
  • Facility Name: DIALYZE DIRECT-GA LLC
  • Facility Address: 5151 BROOKHOLLOW PARKWAY
    NORCROSS, GA
    ZIP 30071
  • Facility Phone: 630 432-3953
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADITYA BHARTIA
  • NPI Number: 1447027651
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2320704
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYZE DIRECT-GA LLC
Street 5151 BROOKHOLLOW PARKWAY
City NORCROSS
State GA
ZIP 30071
Phone 630 432-3953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADITYA BHARTIA

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