11D2075935 CLIA NUMBER - CLEAR MEDICAL CONCEPTS

Laboratory Demographics

  • CLIA Code: 11D2075935
  • Facility Name: CLEAR MEDICAL CONCEPTS
  • Facility Address: 530-D FOREST PKWY
    FOREST PARK, GA
    ZIP 30297
  • Facility Phone: 770 545-2052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERICA N. ROSSER
  • NPI Number: 1841616653
  • Taxonomy: 146M00000X - Emergency Medical Technician, Intermediate

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CLIA Record

Field Name Field Value
CLIA Number 11D2075935
LAB Type Physician Office
Facility Name CLEAR MEDICAL CONCEPTS
Street 530-D FOREST PKWY
City FOREST PARK
State GA
ZIP 30297
Phone 770 545-2052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director SHERICA N. ROSSER

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