11D1092800 CLIA NUMBER - AMERICAN HEALTH IMAGING OF WEST COBB

Laboratory Demographics

  • CLIA Code: 11D1092800
  • Facility Name: AMERICAN HEALTH IMAGING OF WEST COBB
  • Facility Address: 2615 E WEST CONNECTOR, SUITE 122
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 770 739-9770
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JESSICA DEMPSEY
  • NPI Number: 1184284010
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D1092800
LAB Type Independent
Facility Name AMERICAN HEALTH IMAGING OF WEST COBB
Street 2615 E WEST CONNECTOR, SUITE 122
City AUSTELL
State GA
ZIP 30106
Phone 770 739-9770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Independent
Lab Director JESSICA DEMPSEY

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