11D0255180 CLIA NUMBER - URBAN FAMILY PRACTICE ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 11D0255180
  • Facility Name: URBAN FAMILY PRACTICE ASSOCIATES, PC
  • Facility Address: 2520 WINDY HILL RD SUITE 301
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: (770) 952-1032
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CEDRICE N. DAVIS
  • NPI Number: 1215092366
  • Taxonomy: 106H00000X - Marriage & Family Therapist

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CLIA Record

Field Name Field Value
CLIA Number 11D0255180
LAB Type Physician Office
Facility Name URBAN FAMILY PRACTICE ASSOCIATES, PC
Street 2520 WINDY HILL RD SUITE 301
City MARIETTA
State GA
ZIP 30067
Phone 7709521032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director CEDRICE N. DAVIS

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This page was last updated on: 5/18/2026