11D1095021 CLIA NUMBER - AIDS ATHENS INC

Laboratory Demographics

  • CLIA Code: 11D1095021
  • Facility Name: AIDS ATHENS INC
  • Facility Address: 2500 WEST BROAD STREET, SUITE 300
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 549-3730
  • Facility Type: Other - AIDS SERVICE CORP
  • Facility Type: Waiver
  • Lab Director: CASSANDRA BRAY
  • NPI Number: 1790276210
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1095021
LAB Type Other - AIDS SERVICE CORP
Facility Name AIDS ATHENS INC
Street 2500 WEST BROAD STREET, SUITE 300
City ATHENS
State GA
ZIP 30606
Phone 706 549-3730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Other - AIDS SERVICE CORP
Lab Director CASSANDRA BRAY

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