11D1062229 CLIA NUMBER - CONCENTRA - HAPEVILLE AIRPORT

Laboratory Demographics

  • CLIA Code: 11D1062229
  • Facility Name: CONCENTRA - HAPEVILLE AIRPORT
  • Facility Address: 3580 ATLANTA AVENUE, SUITE 2
    HAPEVILLE, GA
    ZIP 30354
  • Facility Phone: (404) 768-3351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAI VALLIERE-WHITE

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CLIA Record

Field Name Field Value
CLIA Number 11D1062229
LAB Type Physician Office
Facility Name CONCENTRA - HAPEVILLE AIRPORT
Street 3580 ATLANTA AVENUE, SUITE 2
City HAPEVILLE
State GA
ZIP 30354
Phone 4047683351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director TAI VALLIERE-WHITE

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