11D2195007 CLIA NUMBER - AICA ORTHOPEDICS PC

Laboratory Demographics

  • CLIA Code: 11D2195007
  • Facility Name: AICA ORTHOPEDICS PC
  • Facility Address: 750 MOUNT ZION ROAD
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 678 701-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID HOLLIFIELD
  • NPI Number: 1295243038
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2195007
LAB Type Physician Office
Facility Name AICA ORTHOPEDICS PC
Street 750 MOUNT ZION ROAD
City JONESBORO
State GA
ZIP 30236
Phone 678 701-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director DAVID HOLLIFIELD

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