11D0911758 CLIA NUMBER - CONCENTRA - LAWRENCEVILLE

Laboratory Demographics

CLIA Number: 11D0911758

Facility Name: CONCENTRA - LAWRENCEVILLE

Facility Address:
755 LAWRENCEVLLE SUWANEE ROAD SUITE 1600
LAWRENCEVILLE, GA
ZIP 30043
Get Directions

Facility Phone Number: 770 995-1500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780876375

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0911758
LAB Type	Physician Office
Facility Name	CONCENTRA - LAWRENCEVILLE
Street	755 LAWRENCEVLLE SUWANEE ROAD SUITE 1600
City	LAWRENCEVILLE
State	GA
ZIP	30043
Phone	770 995-1500
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024