11D2157983 CLIA NUMBER - THE PROGRESS PLACE, INC

Laboratory Demographics

  • CLIA Code: 11D2157983
  • Facility Name: THE PROGRESS PLACE, INC
  • Facility Address: 4775 JIMMY CARTER BOULEVARD UNIT 300
    ATLANTA, GA
    ZIP 30345
  • Facility Phone: 336 317-9633
  • Facility Type: Other - BEHAVIOR HEALTH AGENCY
  • Facility Type: Waiver
  • Lab Director: DR. DEVON BRIGGS
  • NPI Number: 1912140484
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2157983
LAB Type Other - BEHAVIOR HEALTH AGENCY
Facility Name THE PROGRESS PLACE, INC
Street 4775 JIMMY CARTER BOULEVARD UNIT 300
City ATLANTA
State GA
ZIP 30345
Phone 336 317-9633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Other - BEHAVIOR HEALTH AGENCY
Lab Director DR. DEVON BRIGGS

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