11D2084364 CLIA NUMBER - CONCENTRA - AUSTELL

Laboratory Demographics

  • CLIA Code: 11D2084364
  • Facility Name: CONCENTRA - AUSTELL
  • Facility Address: 7750 THE BLUFFS SUITE 100
    AUSTELL, GA
    ZIP 30168
  • Facility Phone: 404 691-4999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON BERENDT
  • NPI Number: 1508332255
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2084364
LAB Type Physician Office
Facility Name CONCENTRA - AUSTELL
Street 7750 THE BLUFFS SUITE 100
City AUSTELL
State GA
ZIP 30168
Phone 404 691-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director JASON BERENDT

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