11D0984979 CLIA NUMBER - AYLO HEALTH-ELLENWOOD

Laboratory Demographics

  • CLIA Code: 11D0984979
  • Facility Name: AYLO HEALTH-ELLENWOOD
  • Facility Address: 211 FAIRVIEW ROAD
    ELLENWOOD, GA
    ZIP 30294
  • Facility Phone: 770 507-4554
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PRIYA SHAH
  • NPI Number: 1447290218
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0984979
LAB Type Physician Office
Facility Name AYLO HEALTH-ELLENWOOD
Street 211 FAIRVIEW ROAD
City ELLENWOOD
State GA
ZIP 30294
Phone 770 507-4554
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director DR. PRIYA SHAH

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