11D0256325 CLIA NUMBER - HARBIN CLINIC 150 GENTILLY

Laboratory Demographics

  • CLIA Code: 11D0256325
  • Facility Name: HARBIN CLINIC 150 GENTILLY
  • Facility Address: 150 GENTILLY BOULEVARD
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: 762 235-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHRISTOPHER SWARD
  • NPI Number: 1487993739
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0256325
LAB Type Physician Office
Facility Name HARBIN CLINIC 150 GENTILLY
Street 150 GENTILLY BOULEVARD
City CARTERSVILLE
State GA
ZIP 30120
Phone 762 235-1000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER SWARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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