11D2057985 CLIA NUMBER - FOREVER CARE OB/GYN, LLC

Laboratory Demographics

  • CLIA Code: 11D2057985
  • Facility Name: FOREVER CARE OB/GYN, LLC
  • Facility Address: 3635 PEACHTREE INDUSTRIAL BLVD, SUITE 150
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 284-3099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XUAN CAO
  • NPI Number: 1043654130
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2057985
LAB Type Physician Office
Facility Name FOREVER CARE OB/GYN, LLC
Street 3635 PEACHTREE INDUSTRIAL BLVD, SUITE 150
City DULUTH
State GA
ZIP 30096
Phone 770 284-3099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director XUAN CAO

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