11D2132926 CLIA NUMBER - ANYTIME MD URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D2132926
  • Facility Name: ANYTIME MD URGENT CARE
  • Facility Address: 4898 AUSTELL ROAD
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 530 848-5863
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL EDJUA
  • NPI Number: 1194255729
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2132926
LAB Type Physician Office
Facility Name ANYTIME MD URGENT CARE
Street 4898 AUSTELL ROAD
City AUSTELL
State GA
ZIP 30106
Phone 530 848-5863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director PAUL EDJUA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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