11D2170132 CLIA NUMBER - GRIFFIN OPEN MRI

Laboratory Demographics

  • CLIA Code: 11D2170132
  • Facility Name: GRIFFIN OPEN MRI
  • Facility Address: 655 WILL STREET
    GRIFFIN, GA
    ZIP 30224
  • Facility Phone: 770 229-4660
  • Facility Type: Other - O/P RADIOLOGY FACILITY
  • Facility Type: Waiver
  • Lab Director: TIMOTHY OZBURN
  • NPI Number: 1154884674
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2170132
LAB Type Other - O/P RADIOLOGY FACILITY
Facility Name GRIFFIN OPEN MRI
Street 655 WILL STREET
City GRIFFIN
State GA
ZIP 30224
Phone 770 229-4660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Other - O/P RADIOLOGY FACILITY
Lab Director TIMOTHY OZBURN

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