CLIA lab

CLIA 11D0936748: Clayton County Dialysis LLC

Riverdale, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0936748 belongs to Clayton County Dialysis LLC in Riverdale, GA.

Certificate of Waiver, effective December 2, 2025, expires December 1, 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
December 2, 2025
Certificate expiration
December 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 2, 1997
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0936748
Lab name
Clayton County Dialysis LLC
Address
181 Upper Riverdale Road SW, Riverdale, GA 30274
Phone
(770) 907-9001
Fax
(770) 907-0234

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Riverdale, GA

Related

Questions

What is the CLIA number for Clayton County Dialysis LLC in Riverdale?

11D0936748, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clayton County Dialysis LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0936748 expire?

The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.

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