11D1086685 CLIA NUMBER - EMPOWERMENT RESOURCE CENTER, INCORPORATE

Laboratory Demographics

  • CLIA Code: 11D1086685
  • Facility Name: EMPOWERMENT RESOURCE CENTER, INCORPORATE
  • Facility Address: 230 PEACHTREE STREET, NW, SUITE 1800
    ATLANTA, GA
    ZIP 30303
  • Facility Phone: 404 526-1145
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JACQUELINE BROWN
  • NPI Number: 1235469875
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1086685
LAB Type Community Clinic
Facility Name EMPOWERMENT RESOURCE CENTER, INCORPORATE
Street 230 PEACHTREE STREET, NW, SUITE 1800
City ATLANTA
State GA
ZIP 30303
Phone 404 526-1145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Community Clinic
Lab Director JACQUELINE BROWN

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