11D1014931 CLIA NUMBER - STAND INCORPORATE

Laboratory Demographics

  • CLIA Code: 11D1014931
  • Facility Name: STAND INCORPORATE
  • Facility Address: 4086 COVINGTON HIGHWAY, SUITE 1100 & 900
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 404 288-4668
  • Facility Type: Other - SUBSTANCE ABUSE O/P
  • Facility Type: Waiver
  • Lab Director: CHARLES E. SPERLING
  • NPI Number: 1023338027
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D1014931
LAB Type Other - SUBSTANCE ABUSE O/P
Facility Name STAND INCORPORATE
Street 4086 COVINGTON HIGHWAY, SUITE 1100 & 900
City DECATUR
State GA
ZIP 30032
Phone 404 288-4668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Other - SUBSTANCE ABUSE O/P
Lab Director CHARLES E. SPERLING

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