11D2152582 CLIA NUMBER - KES, INC

Laboratory Demographics

CLIA Code: 11D2152582
Facility Name: KES, INC
Facility Address: 6440 OLD HILANDALE DRIVE
LITHONIA, GA
ZIP 30058
Facility Phone: 404 289-7174
Facility Type: Other - BEHAVIORAL HEALTH CLINIC
Facility Type: Waiver
Lab Director: YOLANDA CUNNINGHAM
NPI Number: 1972632693
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	11D2152582
LAB Type	Other - BEHAVIORAL HEALTH CLINIC
Facility Name	KES, INC
Street	6440 OLD HILANDALE DRIVE
City	LITHONIA
State	GA
ZIP	30058
Phone	404 289-7174
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/13/2024
Certificate Expiration Date	8/12/2026
Facility Type	Other - BEHAVIORAL HEALTH CLINIC
Lab Director	YOLANDA CUNNINGHAM

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