CLIA lab
CLIA 11D0926640: Dialysis Clinic Inc Fayetteville
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0926640 belongs to Dialysis Clinic Inc Fayetteville in Fayetteville, GA.
Certificate of Waiver, effective March 27, 2025, expires March 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 27, 2025
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 1997
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0926640
- Lab name
- Dialysis Clinic Inc Fayetteville
- Address
- 155 Brandywine Blvd, Fayetteville, GA 30214
- Phone
- (770) 716-6940
- Fax
- (770) 716-6944
Annual test volume the lab reported
- Waived tests
- 2,580
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DCI FayettevilleCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Fayetteville, GA
- 1st Class AmbulanceCertificate of Waiver, Ambulance11D2243867
- A Kids World Pediatrics LLCCertificate of Waiver, Physician office11D1003938
- Abc Pediatrics PCCertificate of Waiver, Physician office11D0937556
- Access Health Treatment CenterCertificate of Waiver, Other11D2099554
- Advanced AestheticsCertificate of Waiver, Ambulatory surgery center11D1056969
- Aesthetics of Fayetteville,llcCertificate of Waiver, Other practitioner11D2183819
- Aga, LLC DBA Atlanta GastroenterologyCertificate of Waiver, Physician office11D1031796
- Air Evac Lifeteam Ael 153Certificate of Waiver, Mobile lab11D2177966
- Allyant, LLCCertificate of Waiver, Ambulance11D2265750
- Alpha Internal MedicineCertificate of Accreditation, Physician office11D0941884
Related
Questions
What is the CLIA number for Dialysis Clinic Inc Fayetteville in Fayetteville?
11D0926640, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dialysis Clinic Inc Fayetteville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0926640 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 27, 2025.