11D2242949 CLIA NUMBER - ATLANTIC ADVANCED BRANDED CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2242949
  • Facility Name: ATLANTIC ADVANCED BRANDED CENTER, LLC
  • Facility Address: 4035 JOHNS CREEK PKWY, SUITE A
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 470 268-6980
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KEWEI YU
  • NPI Number: 1023651312
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2242949
LAB Type Community Clinic
Facility Name ATLANTIC ADVANCED BRANDED CENTER, LLC
Street 4035 JOHNS CREEK PKWY, SUITE A
City SUWANEE
State GA
ZIP 30024
Phone 470 268-6980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Community Clinic
Lab Director KEWEI YU

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This page was last updated on: 3/20/2025