11D1042598 CLIA NUMBER - CONSECRATED CARE INCORPORATED

Laboratory Demographics

  • CLIA Code: 11D1042598
  • Facility Name: CONSECRATED CARE INCORPORATED
  • Facility Address: 217 ARROWHEAD BOULEVARD, SUITE B 1
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 770 472-9110
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ALFRED HOUSTON JUNIOR
  • NPI Number: 1336619220
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1042598
LAB Type Comp. Outpatient Rehab Facility
Facility Name CONSECRATED CARE INCORPORATED
Street 217 ARROWHEAD BOULEVARD, SUITE B 1
City JONESBORO
State GA
ZIP 30236
Phone 770 472-9110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ALFRED HOUSTON JUNIOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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