11D2149718 CLIA NUMBER - CHRIS180 CHRIS COUNSELING DEKALB

Laboratory Demographics

  • CLIA Code: 11D2149718
  • Facility Name: CHRIS180 CHRIS COUNSELING DEKALB
  • Facility Address: 3103 CLAIRMONT ROAD, NE, SUITE B
    BROOKHAVEN, GA
    ZIP 30329
  • Facility Phone: 404 486-9034
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LAURA C. BOWMAN
  • NPI Number: 1770044810
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2149718
LAB Type Community Clinic
Facility Name CHRIS180 CHRIS COUNSELING DEKALB
Street 3103 CLAIRMONT ROAD, NE, SUITE B
City BROOKHAVEN
State GA
ZIP 30329
Phone 404 486-9034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Community Clinic
Lab Director LAURA C. BOWMAN

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