11D0899947 CLIA NUMBER - HARBIN CLINIC 504 REDMOND

Laboratory Demographics

  • CLIA Code: 11D0899947
  • Facility Name: HARBIN CLINIC 504 REDMOND
  • Facility Address: 504 REDMOND ROAD NW
    ROME, GA
    ZIP 30165
  • Facility Phone: 762 235-1760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAHUL GARG
  • NPI Number: 1982091294
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0899947
LAB Type Physician Office
Facility Name HARBIN CLINIC 504 REDMOND
Street 504 REDMOND ROAD NW
City ROME
State GA
ZIP 30165
Phone 762 235-1760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director RAHUL GARG

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