11D2197671 CLIA NUMBER - BREASTFEED ATLANTA, LLC

Laboratory Demographics

  • CLIA Code: 11D2197671
  • Facility Name: BREASTFEED ATLANTA, LLC
  • Facility Address: 1 BALTIMORE PLACE SUITE 160
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 454-7152
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAUREEN E. STARNES
  • NPI Number: 1558722215
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2197671
LAB Type Physician Office
Facility Name BREASTFEED ATLANTA, LLC
Street 1 BALTIMORE PLACE SUITE 160
City ATLANTA
State GA
ZIP 30308
Phone 404 454-7152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director MAUREEN E. STARNES

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