11D2243482 CLIA NUMBER - PRUITTHEALTH DIAGNOSTIC SERVICES, INC

Laboratory Demographics

  • CLIA Code: 11D2243482
  • Facility Name: PRUITTHEALTH DIAGNOSTIC SERVICES, INC
  • Facility Address: 1626 JEURGENS COURT, BLDG 100, SUITE C
    NORCROSS, GA
    ZIP 30093
  • Facility Phone: 678 533-6754
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: SAJA ASAKRAH
  • NPI Number: 1295774222
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2243482
LAB Type Independent
Facility Name PRUITTHEALTH DIAGNOSTIC SERVICES, INC
Street 1626 JEURGENS COURT, BLDG 100, SUITE C
City NORCROSS
State GA
ZIP 30093
Phone 678 533-6754
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Independent
Lab Director SAJA ASAKRAH

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