11D2157305 CLIA NUMBER - AGA, LLC

Laboratory Demographics

  • CLIA Code: 11D2157305
  • Facility Name: AGA, LLC
  • Facility Address: 34 UPPER RIVERDALE ROAD, SUITE 201
    RIVERDALE, GA
    ZIP 30274
  • Facility Phone: 678 904-0094
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH C. LYONS
  • NPI Number: 1780316489
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2157305
LAB Type Physician Office
Facility Name AGA, LLC
Street 34 UPPER RIVERDALE ROAD, SUITE 201
City RIVERDALE
State GA
ZIP 30274
Phone 678 904-0094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director RALPH C. LYONS

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