11D0020351 CLIA NUMBER - WELLSTAR COBB HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 11D0020351
  • Facility Name: WELLSTAR COBB HOSPITAL LABORATORY
  • Facility Address: 3950 AUSTELL ROAD
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 470 732-4729
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JONATHON B. HERBST
  • NPI Number: 1396792446
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 11D0020351
LAB Type Hospital
Facility Name WELLSTAR COBB HOSPITAL LABORATORY
Street 3950 AUSTELL ROAD
City AUSTELL
State GA
ZIP 30106
Phone 470 732-4729
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospital
Lab Director DR. JONATHON B. HERBST

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