11D2097041 CLIA NUMBER - OGCC BEHAVIORAL HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 11D2097041
  • Facility Name: OGCC BEHAVIORAL HEALTH SERVICES, INC
  • Facility Address: 3915 CASCADE RD
    ATLANTA, GA
    ZIP 30331
  • Facility Phone: 404 691-3270
  • Facility Type: Other - COMMUNITY BEHAVIORAL HLTH
  • Facility Type: Waiver
  • Lab Director: CHALICE NELSON
  • NPI Number: 1043418627
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2097041
LAB Type Other - COMMUNITY BEHAVIORAL HLTH
Facility Name OGCC BEHAVIORAL HEALTH SERVICES, INC
Street 3915 CASCADE RD
City ATLANTA
State GA
ZIP 30331
Phone 404 691-3270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Other - COMMUNITY BEHAVIORAL HLTH
Lab Director CHALICE NELSON

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