11D2125733 CLIA NUMBER - AMERICAN HEALTH IMAGING OF MARIETTA

Laboratory Demographics

  • CLIA Code: 11D2125733
  • Facility Name: AMERICAN HEALTH IMAGING OF MARIETTA
  • Facility Address: 796 CHURCH STREET, NE, SUITE 100
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 678 736-8908
  • Facility Type: Other - IDTF
  • Facility Type: Waiver
  • Lab Director: JESSICA DEMPSEY
  • NPI Number: 1831321207
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D2125733
LAB Type Other - IDTF
Facility Name AMERICAN HEALTH IMAGING OF MARIETTA
Street 796 CHURCH STREET, NE, SUITE 100
City MARIETTA
State GA
ZIP 30060
Phone 678 736-8908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Other - idtf
Lab Director JESSICA DEMPSEY

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