11D2130156 CLIA NUMBER - RARE DISEASE RESEARCH, LLC

Laboratory Demographics

  • CLIA Code: 11D2130156
  • Facility Name: RARE DISEASE RESEARCH, LLC
  • Facility Address: 1730 NORTHEAST EXPRESSWAY, NE
    ATLANTA, GA
    ZIP 30329
  • Facility Phone: (470) 729-9797
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: HAN C. PHAN
  • NPI Number: 1942813381
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2130156
LAB Type Independent
Facility Name RARE DISEASE RESEARCH, LLC
Street 1730 NORTHEAST EXPRESSWAY, NE
City ATLANTA
State GA
ZIP 30329
Phone 4707299797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Independent
Lab Director HAN C. PHAN

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