11D2038751 CLIA NUMBER - CARROLLTON CBOC

Laboratory Demographics

  • CLIA Code: 11D2038751
  • Facility Name: CARROLLTON CBOC
  • Facility Address: 180 MARTIN DRIVE
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 404 321-6111
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: CRAIG CAMPUS
  • NPI Number: 1154728871
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2038751
LAB Type Community Clinic
Facility Name CARROLLTON CBOC
Street 180 MARTIN DRIVE
City CARROLLTON
State GA
ZIP 30117
Phone 404 321-6111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/26/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director CRAIG CAMPUS

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