11D1013395 CLIA NUMBER - AID ATLANTA INC

Laboratory Demographics

  • CLIA Code: 11D1013395
  • Facility Name: AID ATLANTA INC
  • Facility Address: 1438 WEST PEACHTREE STREET NW ATTN NICHOLAS WHITE
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 404 870-7720
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: AHMED MOUSSA
  • NPI Number: 1134288095
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D1013395
LAB Type Community Clinic
Facility Name AID ATLANTA INC
Street 1438 WEST PEACHTREE STREET NW ATTN NICHOLAS WHITE
City ATLANTA
State GA
ZIP 30309
Phone 404 870-7720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Community Clinic
Lab Director AHMED MOUSSA

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