11D1038507 CLIA NUMBER - CENTER FOR INFECTIOUS DISEASES LLC

Laboratory Demographics

  • CLIA Code: 11D1038507
  • Facility Name: CENTER FOR INFECTIOUS DISEASES LLC
  • Facility Address: 16 COLLINS DRIVE
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: 678 721-6971
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMAN MONGIA
  • NPI Number: 1578755351
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1038507
LAB Type Physician Office
Facility Name CENTER FOR INFECTIOUS DISEASES LLC
Street 16 COLLINS DRIVE
City CARTERSVILLE
State GA
ZIP 30120
Phone 678 721-6971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director AMAN MONGIA

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