11D2150414 CLIA NUMBER - EMILY PROGRAM - ATLANTA, THE

Laboratory Demographics

  • CLIA Code: 11D2150414
  • Facility Name: EMILY PROGRAM - ATLANTA, THE
  • Facility Address: 41 PERIMETER CENTER EAST, SUITE 250
    ATLANTA, GA
    ZIP 30346
  • Facility Phone: 888 364-5977
  • Facility Type: Other - RESIDENTIAL/INPATIENT FAC
  • Facility Type: Waiver
  • Lab Director: JONATHAN L. LEVY
  • NPI Number: 1376817593
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D2150414
LAB Type Other - RESIDENTIAL/INPATIENT FAC
Facility Name EMILY PROGRAM - ATLANTA, THE
Street 41 PERIMETER CENTER EAST, SUITE 250
City ATLANTA
State GA
ZIP 30346
Phone 888 364-5977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Other - RESIDENTIAL/INPATIENT FAC
Lab Director JONATHAN L. LEVY

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