11D2144496 CLIA NUMBER - ATLANTA BEHAVIORAL RESEARCH, LLC

Laboratory Demographics

CLIA Number: 11D2144496

Facility Name: ATLANTA BEHAVIORAL RESEARCH, LLC

Facility Address:
2150 PEACHFORD ROAD, SUITE K
ATLANTA, GA
ZIP 30338
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Facility Phone Number: 770 458-0447

Facility Type: Other - PRIVATE RESEARCH FACILITY

Certificate Type: Waiver

NPI Number: 1679203921

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2144496
LAB Type	Other - PRIVATE RESEARCH FACILITY
Facility Name	ATLANTA BEHAVIORAL RESEARCH, LLC
Street	2150 PEACHFORD ROAD, SUITE K
City	ATLANTA
State	GA
ZIP	30338
Phone	770 458-0447
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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