11D2231901 CLIA NUMBER - GRAYSON FAMILY CORE, LLC

Laboratory Demographics

  • CLIA Code: 11D2231901
  • Facility Name: GRAYSON FAMILY CORE, LLC
  • Facility Address: 1700 TREE LANE, SUITE 160
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 678 578-8422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANGETA SHARMA
  • NPI Number: 1558939256
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2231901
LAB Type Physician Office
Facility Name GRAYSON FAMILY CORE, LLC
Street 1700 TREE LANE, SUITE 160
City SNELLVILLE
State GA
ZIP 30078
Phone 678 578-8422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director SANGETA SHARMA

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