11D0981263 CLIA NUMBER - CONCENTRA - MORELAND

Laboratory Demographics

  • CLIA Code: 11D0981263
  • Facility Name: CONCENTRA - MORELAND
  • Facility Address: 4223 HWY 42 (MORELAND AVE)
    CONLEY, GA
    ZIP 30288
  • Facility Phone: 404 366-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLA LEE
  • NPI Number: 1356534242
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0981263
LAB Type Physician Office
Facility Name CONCENTRA - MORELAND
Street 4223 HWY 42 (MORELAND AVE)
City CONLEY
State GA
ZIP 30288
Phone 404 366-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/25/2024
Certificate Expiration Date 12/24/2026
Facility Type Physician Office
Lab Director NICOLA LEE

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