11D2130156 CLIA NUMBER - RARE DISEASE RESEARCH, LLC

Laboratory Demographics

CLIA Number: 11D2130156

Facility Name: RARE DISEASE RESEARCH, LLC

Facility Address:
1730 NORTHEAST EXPRESSWAY, NE
ATLANTA, GA
ZIP 30329
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Facility Phone Number: 678 883-6897

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1942813381

Taxonomy: 261QR1100X - Clinic/Center

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	678 883-6897
CertificateType	4
CertificateEffectiveDate	5/3/2023
CertificateExpirationDate	5/2/2025
FacilityType	Waiver

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