11D0708081 CLIA NUMBER - KENMAR FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D0708081
  • Facility Name: KENMAR FAMILY PRACTICE
  • Facility Address: 880 CANTON ROAD, SUITE 300
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 590-0585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. SNELL
  • NPI Number: 1659593077
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0708081
LAB Type Physician Office
Facility Name KENMAR FAMILY PRACTICE
Street 880 CANTON ROAD, SUITE 300
City MARIETTA
State GA
ZIP 30060
Phone 770 590-0585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director WILLIAM E. SNELL

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