11D0710194 CLIA NUMBER - AGA, LLC

Laboratory Demographics

  • CLIA Code: 11D0710194
  • Facility Name: AGA, LLC
  • Facility Address: 550 PEACHTREE STREET NE, SUITE 1600
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 881-1094
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES A. FOX
  • NPI Number: 1659041481
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D0710194
LAB Type Physician Office
Facility Name AGA, LLC
Street 550 PEACHTREE STREET NE, SUITE 1600
City ATLANTA
State GA
ZIP 30308
Phone 404 881-1094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director CHARLES A. FOX

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