11D0256785 CLIA NUMBER - ATRIUM HEALTH FLOYD MEDICAL CENTER FAMILY MEDICINE RESIDENCY CLINIC

Laboratory Demographics

  • CLIA Code: 11D0256785
  • Facility Name: ATRIUM HEALTH FLOYD MEDICAL CENTER FAMILY MEDICINE RESIDENCY CLINIC
  • Facility Address: 304 SHORTER AVENUE, STE #201
    ROME, GA
    ZIP 30165
  • Facility Phone: 706 291-0937
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KELLY CULBERSTON
  • NPI Number: 1992814586
  • Taxonomy: 2080N0001X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0256785
LAB Type Independent
Facility Name ATRIUM HEALTH FLOYD MEDICAL CENTER FAMILY MEDICINE RESIDENCY CLINIC
Street 304 SHORTER AVENUE, STE #201
City ROME
State GA
ZIP 30165
Phone 706 291-0937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Independent
Lab Director KELLY CULBERSTON

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