11D1045936 CLIA NUMBER - CARTERSVILLE CENTER LLC

Laboratory Demographics

  • CLIA Code: 11D1045936
  • Facility Name: CARTERSVILLE CENTER LLC
  • Facility Address: 218 STONEWALL STREET
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: (770) 386-1907
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ARMANDO JANEIRA
  • NPI Number: 1386652022
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1045936
LAB Type Comp. Outpatient Rehab Facility
Facility Name CARTERSVILLE CENTER LLC
Street 218 STONEWALL STREET
City CARTERSVILLE
State GA
ZIP 30120
Phone 7703861907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ARMANDO JANEIRA

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This page was last updated on: 5/18/2026