11D0982117 CLIA NUMBER - LEGACY RIDGE AT BROOKSTONE

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CLIA Record

Field Name Field Value
CLIA Number 11D0982117
LAB Type Assisted Living Facility
Facility Name LEGACY RIDGE AT BROOKSTONE
Street 5235 STILESBORO RD NW
City KENNESAW
State GA
ZIP 30152
Phone 770 423-0080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Assisted Living Facility
Lab Director HUDIE LANGSTON

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