11D0258204 CLIA NUMBER - AYLO HEALTH-STOCKBRIDGE

Laboratory Demographics

  • CLIA Code: 11D0258204
  • Facility Name: AYLO HEALTH-STOCKBRIDGE
  • Facility Address: 1240 EAGLES LANDING PKWY, SUITE 110
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 389-3855
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ADEKEMI ISHOLA
  • NPI Number: 1649623380
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0258204
LAB Type Physician Office
Facility Name AYLO HEALTH-STOCKBRIDGE
Street 1240 EAGLES LANDING PKWY, SUITE 110
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 389-3855
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 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director DR. ADEKEMI ISHOLA

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