11D1098193 CLIA NUMBER - OUR HOUSE HEALTH

Laboratory Demographics

  • CLIA Code: 11D1098193
  • Facility Name: OUR HOUSE HEALTH
  • Facility Address: 173 BOULEVARD NE
    ATLANTA, GA
    ZIP 30312
  • Facility Phone: 404 658-1500
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: TYREESHA HUBBARD
  • NPI Number: 1104527944
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1098193
LAB Type Community Clinic
Facility Name OUR HOUSE HEALTH
Street 173 BOULEVARD NE
City ATLANTA
State GA
ZIP 30312
Phone 404 658-1500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Community Clinic
Lab Director TYREESHA HUBBARD

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