11D2010091 CLIA NUMBER - GRIFFIN IMAGING, LLC

Laboratory Demographics

  • CLIA Code: 11D2010091
  • Facility Name: GRIFFIN IMAGING, LLC
  • Facility Address: 220 ROCK STREET
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 770 229-4660
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY OZBURN
  • NPI Number: 1700199940
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2010091
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GRIFFIN IMAGING, LLC
Street 220 ROCK STREET
City GRIFFIN
State GA
ZIP 30224
Phone 770 229-4660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. TIMOTHY OZBURN

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