11D2145558 CLIA NUMBER - HARBOR SPRINGS COUNSELING SERVICES

Laboratory Demographics

  • CLIA Code: 11D2145558
  • Facility Name: HARBOR SPRINGS COUNSELING SERVICES
  • Facility Address: 1790 MULKEY ROAD, SUITE A
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 404 271-8768
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY C. HENDERSON
  • NPI Number: 1154889665
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2145558
LAB Type Comp. Outpatient Rehab Facility
Facility Name HARBOR SPRINGS COUNSELING SERVICES
Street 1790 MULKEY ROAD, SUITE A
City AUSTELL
State GA
ZIP 30106
Phone 404 271-8768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director KIMBERLY C. HENDERSON

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