11D2328406 CLIA NUMBER - USRC EAST ATLANTA LLC DBA US RENAL CARE EAST ATLANTA DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2328406
  • Facility Name: USRC EAST ATLANTA LLC DBA US RENAL CARE EAST ATLANTA DIALYSIS
  • Facility Address: 2375 METROPOLITAN PARKWAY, SW
    ATLANTA, GA
    ZIP 30315
  • Facility Phone: 470 870-2514
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEONARD N. GYEBI
  • NPI Number: 1922983014
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2328406
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC EAST ATLANTA LLC DBA US RENAL CARE EAST ATLANTA DIALYSIS
Street 2375 METROPOLITAN PARKWAY, SW
City ATLANTA
State GA
ZIP 30315
Phone 470 870-2514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LEONARD N. GYEBI

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