11D2158560 CLIA NUMBER - GUILFORD IMMEDIATE CARE, SYAH, LLC

Laboratory Demographics

  • CLIA Code: 11D2158560
  • Facility Name: GUILFORD IMMEDIATE CARE, SYAH, LLC
  • Facility Address: 142 PARKWAY PLAZA
    CLEVELAND, GA
    ZIP 30528
  • Facility Phone: 770 532-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYHAM Y. HADDAD
  • NPI Number: 1306823455
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2158560
LAB Type Physician Office
Facility Name GUILFORD IMMEDIATE CARE, SYAH, LLC
Street 142 PARKWAY PLAZA
City CLEVELAND
State GA
ZIP 30528
Phone 770 532-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director AYHAM Y. HADDAD

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