CLIA lab
CLIA 11D2059139: Old National Dialysis
College Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2059139 belongs to Old National Dialysis in College Park, GA.
Certificate of Waiver, effective May 20, 2025, expires May 19, 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
- May 20, 2025
- Certificate expiration
- May 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 20, 2013
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2059139
- Lab name
- Old National Dialysis
- Address
- 5615 Old National Highway, Suite A, College Park, GA 30349
- Phone
- (404) 762-9243
- Fax
- (404) 762-5304
Annual test volume the lab reported
- Waived tests
- 24,336
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Old National DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in College Park, GA
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- Aica Orthopedics, PCCertificate of Waiver, Physician office11D2191752
- Alpha Comfort Care IncCertificate of Waiver, Hospice11D2320254
- Ankle & Foot Centers of Georgia, LLCCertificate of Compliance, Physician office11D2262519
- Annabelle Fields Wellness CenterCertificate of Waiver, Community clinic11D2318590
- Apogee Womens Health IncorporateCertificate for Provider-Performed Microscopy Procedures, Physician office11D1045378
- Arc EMS LLCCertificate of Waiver, Ambulance11D2344429
- Bio-Medical Applications of Ga, IncCertificate of Waiver, End stage renal disease dialysis facility11D0662501
- Biotech Clinical Research LLCCertificate of Waiver, Other11D2319179
- Bridge Medical TransportCertificate of Waiver, Ambulance11D2327907
Related
Questions
What is the CLIA number for Old National Dialysis in College Park?
11D2059139, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Old National Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2059139 expire?
The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.