11D2171339 CLIA NUMBER - CERIUM FAMILY PRACTICE & URGENT MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 11D2171339
  • Facility Name: CERIUM FAMILY PRACTICE & URGENT MEDICINE, LLC
  • Facility Address: 2279 LAWRENCEVILLE HWY, STE 104
    DECATUR, GA
    ZIP 30033
  • Facility Phone: (404) 276-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SONDI MOORE-WATERS
  • NPI Number: 1780280776
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2171339
LAB Type Physician Office
Facility Name CERIUM FAMILY PRACTICE & URGENT MEDICINE, LLC
Street 2279 LAWRENCEVILLE HWY, STE 104
City DECATUR
State GA
ZIP 30033
Phone 4042768100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Physician Office
Lab Director SONDI MOORE-WATERS

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This page was last updated on: 6/29/2026