11D2187944 CLIA NUMBER - AICA ORTHOPEDICS PC

Laboratory Demographics

  • CLIA Code: 11D2187944
  • Facility Name: AICA ORTHOPEDICS PC
  • Facility Address: 260 CORPORATE CENTER DRIVE
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 678 961-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FITZCLARENCE N. HARPER
  • NPI Number: 1154869758
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2187944
LAB Type Physician Office
Facility Name AICA ORTHOPEDICS PC
Street 260 CORPORATE CENTER DRIVE
City STOCKBRIDGE
State GA
ZIP 30281
Phone 678 961-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director DR. FITZCLARENCE N. HARPER

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