11D2168354 CLIA NUMBER - CERTIVIA LABS

Laboratory Demographics

  • CLIA Code: 11D2168354
  • Facility Name: CERTIVIA LABS
  • Facility Address: 2166 WEST PARK COURT, SUITE E AND F
    STONE MOUNTAIN, GA
    ZIP 30087
  • Facility Phone: 404 538-0404
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ROBERT E. BURNETTE
  • NPI Number: 1801449327
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2168354
LAB Type Independent
Facility Name CERTIVIA LABS
Street 2166 WEST PARK COURT, SUITE E AND F
City STONE MOUNTAIN
State GA
ZIP 30087
Phone 404 538-0404
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Independent
Lab Director DR. ROBERT E. BURNETTE

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