11D2090751 CLIA NUMBER - POSITIVE GROWTH

Laboratory Demographics

  • CLIA Code: 11D2090751
  • Facility Name: POSITIVE GROWTH
  • Facility Address: 945 N INDIAN CREEK DRIVE
    CLARKSTON, GA
    ZIP 30021
  • Facility Phone: 404 298-9005
  • Facility Type: Other - OUT. DRUG/ALC TRMT/ED
  • Facility Type: Waiver
  • Lab Director: KIMBERLY VEIRA
  • NPI Number: 1437343555
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2090751
LAB Type Other - OUT. DRUG/ALC TRMT/ED
Facility Name POSITIVE GROWTH
Street 945 N INDIAN CREEK DRIVE
City CLARKSTON
State GA
ZIP 30021
Phone 404 298-9005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Other - OUT. DRUG/ALC TRMT/ED
Lab Director KIMBERLY VEIRA

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