11D2071396 CLIA NUMBER - FAMILY TIES ENTERPRISES, INC

Laboratory Demographics

  • CLIA Code: 11D2071396
  • Facility Name: FAMILY TIES ENTERPRISES, INC
  • Facility Address: 270 CARPENTER DRIVE, SUITE 400
    SANDY SPRINGS, GA
    ZIP 30328
  • Facility Phone: 678 460-0345
  • Facility Type: Other - OUTPATIENT MENTAL HLTH
  • Facility Type: Waiver
  • Lab Director: BARRY F. SCANLON
  • NPI Number: 1275753782
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2071396
LAB Type Other - OUTPATIENT MENTAL HLTH
Facility Name FAMILY TIES ENTERPRISES, INC
Street 270 CARPENTER DRIVE, SUITE 400
City SANDY SPRINGS
State GA
ZIP 30328
Phone 678 460-0345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Other - OUTPATIENT MENTAL HLTH
Lab Director BARRY F. SCANLON

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