11D2054559 CLIA NUMBER - TANGU, INC

Laboratory Demographics

  • CLIA Code: 11D2054559
  • Facility Name: TANGU, INC
  • Facility Address: 1820 WATER PL, SE, SUITE #250
    ATLANTA, GA
    ZIP 30339
  • Facility Phone: 404 523-4599
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: WALTER D. BROOKS
  • NPI Number: 1699890640
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 11D2054559
LAB Type Comp. Outpatient Rehab Facility
Facility Name TANGU, INC
Street 1820 WATER PL, SE, SUITE #250
City ATLANTA
State GA
ZIP 30339
Phone 404 523-4599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director WALTER D. BROOKS

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