11D2219715 CLIA NUMBER - 2CBO HOME CARE LLC DBA BRIGHTSTAR CARE OF MARIETTA

Laboratory Demographics

  • CLIA Code: 11D2219715
  • Facility Name: 2CBO HOME CARE LLC DBA BRIGHTSTAR CARE OF MARIETTA
  • Facility Address: 833 CAMPBELL STREET, NW, SUITE 116
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 678 290-7827
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARLES DAVID RUDDER
  • NPI Number: 1891380408
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 11D2219715
LAB Type Home Health Agency
Facility Name 2CBO HOME CARE LLC DBA BRIGHTSTAR CARE OF MARIETTA
Street 833 CAMPBELL STREET, NW, SUITE 116
City MARIETTA
State GA
ZIP 30060
Phone 678 290-7827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Home Health Agency
Lab Director CHARLES DAVID RUDDER

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