11D2239317 CLIA NUMBER - TRUECARE MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 11D2239317
  • Facility Name: TRUECARE MEDICAL, LLC
  • Facility Address: 625 BEAVER RUIN ROAD, SUITE E
    LILBURN, GA
    ZIP 30047
  • Facility Phone: 678 369-9399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGOC PHAN
  • NPI Number: 1528731205
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2239317
LAB Type Physician Office
Facility Name TRUECARE MEDICAL, LLC
Street 625 BEAVER RUIN ROAD, SUITE E
City LILBURN
State GA
ZIP 30047
Phone 678 369-9399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director NGOC PHAN

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