11D0684070 CLIA NUMBER - HOPE CLINIC INC

Laboratory Demographics

  • CLIA Code: 11D0684070
  • Facility Name: HOPE CLINIC INC
  • Facility Address: 121 LANGLEY DRIVE
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: (770) 685-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM B. MARTIN MD
  • NPI Number: 1780803460
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0684070
LAB Type Physician Office
Facility Name HOPE CLINIC INC
Street 121 LANGLEY DRIVE
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 7706851300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director WILLIAM B. MARTIN MD

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This page was last updated on: 5/15/2026