11D2023148 CLIA NUMBER - AVITA COMMUNITY PARTNERS

Laboratory Demographics

  • CLIA Code: 11D2023148
  • Facility Name: AVITA COMMUNITY PARTNERS
  • Facility Address: 2467 OLD CORNELIA HIGHWAY
    GAINESVILLE, GA
    ZIP 30507
  • Facility Phone: 678 513-5700
  • Facility Type: Other - COMMUNITY SERVICE BOARD
  • Facility Type: Waiver
  • Lab Director: ROBERT S. COBIELLA
  • NPI Number: 1295275873
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 11D2023148
LAB Type Other - COMMUNITY SERVICE BOARD
Facility Name AVITA COMMUNITY PARTNERS
Street 2467 OLD CORNELIA HIGHWAY
City GAINESVILLE
State GA
ZIP 30507
Phone 678 513-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Other - COMMUNITY SERVICE BOARD
Lab Director ROBERT S. COBIELLA

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