11D2195399 CLIA NUMBER - BARCLAY HOUSE OF CARROLLTON

Laboratory Demographics

  • CLIA Code: 11D2195399
  • Facility Name: BARCLAY HOUSE OF CARROLLTON
  • Facility Address: 150 COTTAGE LANE
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 913-7532
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LEISA M. CAWTHON
  • NPI Number: 1801092556
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 11D2195399
LAB Type Assisted Living Facility
Facility Name BARCLAY HOUSE OF CARROLLTON
Street 150 COTTAGE LANE
City CARROLLTON
State GA
ZIP 30117
Phone 770 913-7532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Assisted Living Facility
Lab Director LEISA M. CAWTHON

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