11D1047455 CLIA NUMBER - GRAIVIER CENTER, PC, THE

Laboratory Demographics

  • CLIA Code: 11D1047455
  • Facility Name: GRAIVIER CENTER, PC, THE
  • Facility Address: 3333 OLD MILTON PKWY STE 280
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 772-0695
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MILES H. GRAIVIER
  • NPI Number: 1154999282
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1047455
LAB Type Ambulatory Surgery Center
Facility Name GRAIVIER CENTER, PC, THE
Street 3333 OLD MILTON PKWY STE 280
City ALPHARETTA
State GA
ZIP 30005
Phone 770 772-0695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Ambulatory Surgery Center
Lab Director MILES H. GRAIVIER

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