11D2118816 CLIA NUMBER - HERE'S TO LIFE, INCORPORATED

Laboratory Demographics

CLIA Number: 11D2118816

Facility Name: HERE'S TO LIFE, INCORPORATED

Facility Address:
1115 RALPH DAVID ABERNATHY BOULEVARD
ATLANTA, GA
ZIP 30310
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Facility Phone Number: 404 500-3726

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1235916578

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 11D2118816
LAB Type Comp. Outpatient Rehab Facility
Facility Name HERE'S TO LIFE, INCORPORATED
Street 1115 RALPH DAVID ABERNATHY BOULEVARD
City ATLANTA
State GA
ZIP 30310
Phone 404 500-3726
CertificateType 4
CertificateEffectiveDate 12/28/2022
CertificateExpirationDate 12/27/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024