11D2016505 CLIA NUMBER - ADVANTAGE BEHAVIORAL HEALTH SYSTEMS

Laboratory Demographics

  • CLIA Code: 11D2016505
  • Facility Name: ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
  • Facility Address: 250 BRAY STREET
    ATHENS, GA
    ZIP 30601
  • Facility Phone: 706 389-6789
  • Facility Type: Other - COMMUNITY SERVICE BOARD
  • Facility Type: Waiver
  • Lab Director: YOGESH GOSWAMI
  • NPI Number: 1215420690
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2016505
LAB Type Other - COMMUNITY SERVICE BOARD
Facility Name ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
Street 250 BRAY STREET
City ATHENS
State GA
ZIP 30601
Phone 706 389-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Other - COMMUNITY SERVICE BOARD
Lab Director YOGESH GOSWAMI

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