11D1095835 CLIA NUMBER - NON SURGICAL ORTHOPAEDICS PC

Laboratory Demographics

  • CLIA Code: 11D1095835
  • Facility Name: NON SURGICAL ORTHOPAEDICS PC
  • Facility Address: 418 BRADLEY STREET
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 421-1420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY R. GRASSO
  • NPI Number: 1871656561
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1095835
LAB Type Physician Office
Facility Name NON SURGICAL ORTHOPAEDICS PC
Street 418 BRADLEY STREET
City CARROLLTON
State GA
ZIP 30117
Phone 770 421-1420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director ANTHONY R. GRASSO

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