11D1082322 CLIA NUMBER - SYAH LLC DBA GUILFORD IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 11D1082322
  • Facility Name: SYAH LLC DBA GUILFORD IMMEDIATE CARE
  • Facility Address: 4205 MUNDY MILL PLACE
    OAKWOOD, GA
    ZIP 30566
  • Facility Phone: 770 532-0820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYHAM Y. HADDAD
  • NPI Number: 1386945491
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1082322
LAB Type Physician Office
Facility Name SYAH LLC DBA GUILFORD IMMEDIATE CARE
Street 4205 MUNDY MILL PLACE
City OAKWOOD
State GA
ZIP 30566
Phone 770 532-0820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director AYHAM Y. HADDAD

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