11D0973621 CLIA NUMBER - TANNER HEALTHCARE FOR CHILDREN - BREMEN

Laboratory Demographics

  • CLIA Code: 11D0973621
  • Facility Name: TANNER HEALTHCARE FOR CHILDREN - BREMEN
  • Facility Address: 204 ALLEN MEMORIAL DRIVE, SUITE 203
    BREMEN, GA
    ZIP 30110
  • Facility Phone: (770) 824-2430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARILYN COLEMAN

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0973621
LAB Type Physician Office
Facility Name TANNER HEALTHCARE FOR CHILDREN - BREMEN
Street 204 ALLEN MEMORIAL DRIVE, SUITE 203
City BREMEN
State GA
ZIP 30110
Phone 7708242430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2026
Certificate Expiration Date 2/9/2028
Facility Type Physician Office
Lab Director MARILYN COLEMAN

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: 5/18/2026