11D2185132 CLIA NUMBER - SAFE HAVEN NRSG SERV DBA DRUG TESTING SERVICES OF MCDONOUGH

Laboratory Demographics

  • CLIA Code: 11D2185132
  • Facility Name: SAFE HAVEN NRSG SERV DBA DRUG TESTING SERVICES OF MCDONOUGH
  • Facility Address: 444 RACETRACK ROAD
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 470 839-6461
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARIBA D. CARTER
  • NPI Number: 1528673514
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2185132
LAB Type Physician Office
Facility Name SAFE HAVEN NRSG SERV DBA DRUG TESTING SERVICES OF MCDONOUGH
Street 444 RACETRACK ROAD
City MCDONOUGH
State GA
ZIP 30253
Phone 470 839-6461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director KARIBA D. CARTER

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