11D2175386 CLIA NUMBER - REVEAL DIAGNOSTIC SERVICES, INC

Laboratory Demographics

  • CLIA Code: 11D2175386
  • Facility Name: REVEAL DIAGNOSTIC SERVICES, INC
  • Facility Address: 3915 CASCADE ROAD, SUITE 355
    ATLANTA, GA
    ZIP 30331
  • Facility Phone: 404 549-9630
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. GAJENDRA K. KATARA
  • NPI Number: 1285278846
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2175386
LAB Type Independent
Facility Name REVEAL DIAGNOSTIC SERVICES, INC
Street 3915 CASCADE ROAD, SUITE 355
City ATLANTA
State GA
ZIP 30331
Phone 404 549-9630
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 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Independent
Lab Director DR. GAJENDRA K. KATARA

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