11D1010515 CLIA NUMBER - CONCENTRA - MIDTOWN

Laboratory Demographics

  • CLIA Code: 11D1010515
  • Facility Name: CONCENTRA - MIDTOWN
  • Facility Address: 688 SPRING STREET, NW
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 881-1155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN CHADWICK
  • NPI Number: 1205028883
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1010515
LAB Type Physician Office
Facility Name CONCENTRA - MIDTOWN
Street 688 SPRING STREET, NW
City ATLANTA
State GA
ZIP 30308
Phone 404 881-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director BRIAN CHADWICK

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