11D1042615 CLIA NUMBER - NEPTUNE CLINICAL GROUP INCORPORATE

Laboratory Demographics

  • CLIA Code: 11D1042615
  • Facility Name: NEPTUNE CLINICAL GROUP INCORPORATE
  • Facility Address: 822 CHICKAMAUGA AVENUE
    ROSSVILLE, GA
    ZIP 30741
  • Facility Phone: 706 861-6458
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DOUGLAS STEPHEN DAVIS
  • NPI Number: 1669572335
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1042615
LAB Type Practitioner Other
Facility Name NEPTUNE CLINICAL GROUP INCORPORATE
Street 822 CHICKAMAUGA AVENUE
City ROSSVILLE
State GA
ZIP 30741
Phone 706 861-6458
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 Practitioner Other
Lab Director DOUGLAS STEPHEN DAVIS

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