11D0645886 CLIA NUMBER - WILLIAM BREMAN JEWISH HOME

Laboratory Demographics

  • CLIA Code: 11D0645886
  • Facility Name: WILLIAM BREMAN JEWISH HOME
  • Facility Address: 3150 HOWELL MILL RD NW
    ATLANTA, GA
    ZIP 30327
  • Facility Phone: 404 351-8410
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SYLVANUS K. FIAKPORNOO
  • NPI Number: 1932307923
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 11D0645886
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLIAM BREMAN JEWISH HOME
Street 3150 HOWELL MILL RD NW
City ATLANTA
State GA
ZIP 30327
Phone 404 351-8410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SYLVANUS K. FIAKPORNOO

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