11D2245223 CLIA NUMBER - CARE ATC ROPER WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 11D2245223
  • Facility Name: CARE ATC ROPER WELLNESS CENTER
  • Facility Address: 1507 BROOMTOWN ROAD
    LAFAYETTE, GA
    ZIP 30728
  • Facility Phone: 918 779-7471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK W. ALBRITTON
  • NPI Number: 1144041666
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2245223
LAB Type Physician Office
Facility Name CARE ATC ROPER WELLNESS CENTER
Street 1507 BROOMTOWN ROAD
City LAFAYETTE
State GA
ZIP 30728
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director MARK W. ALBRITTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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