11D2159943 CLIA NUMBER - BRASELTON URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D2159943
  • Facility Name: BRASELTON URGENT CARE
  • Facility Address: 2620 OLD WINDER HIGHWAY, SUITE 300
    BRASELTON, GA
    ZIP 30517
  • Facility Phone: 678 821-2401
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DAVID ASRAEL
  • NPI Number: 1235614074
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2159943
LAB Type Other - URGENT CARE
Facility Name BRASELTON URGENT CARE
Street 2620 OLD WINDER HIGHWAY, SUITE 300
City BRASELTON
State GA
ZIP 30517
Phone 678 821-2401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Other - URGENT CARE
Lab Director DAVID ASRAEL

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