11D2150414 CLIA NUMBER - VERITAS COLLABORATIVE GEORGIA, LLC

Laboratory Demographics

CLIA Number: 11D2150414

Facility Name: VERITAS COLLABORATIVE GEORGIA, LLC

Facility Address:
41 PERIMETER CENTER EAST, SUITE 250
ATLANTA, GA
ZIP 30346
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Facility Phone Number: 919 908-0376

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1376817593

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	11D2150414
LAB Type	Hospital
Facility Name	VERITAS COLLABORATIVE GEORGIA, LLC
Street	41 PERIMETER CENTER EAST, SUITE 250
City	ATLANTA
State	GA
ZIP	30346
Phone	919 908-0376
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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