11D2128963 CLIA NUMBER - ROSELANE HEALTH CENTER BY HARBORVIEW

Laboratory Demographics

  • CLIA Code: 11D2128963
  • Facility Name: ROSELANE HEALTH CENTER BY HARBORVIEW
  • Facility Address: 613 ROSELANE STREET
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 792-9800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. RAMPRASAD SUBRAMANIUM
  • NPI Number: 1275083560
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2128963
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSELANE HEALTH CENTER BY HARBORVIEW
Street 613 ROSELANE STREET
City MARIETTA
State GA
ZIP 30060
Phone 770 792-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. RAMPRASAD SUBRAMANIUM

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