11D2125187 CLIA NUMBER - EMILY PROGRAM ATLANTA, THE

Laboratory Demographics

  • CLIA Code: 11D2125187
  • Facility Name: EMILY PROGRAM ATLANTA, THE
  • Facility Address: 41 PERIMETER CENTER EAST, SUITE 640
    ATLANTA, GA
    ZIP 30346
  • Facility Phone: (888) 364-5977
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN L. LEVY
  • NPI Number: 1154696698
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2125187
LAB Type Physician Office
Facility Name EMILY PROGRAM ATLANTA, THE
Street 41 PERIMETER CENTER EAST, SUITE 640
City ATLANTA
State GA
ZIP 30346
Phone 8883645977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director JONATHAN L. LEVY

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This page was last updated on: 5/18/2026