11D2252150 CLIA NUMBER - GREENLEAF FAMILY CENTERS

Laboratory Demographics

  • CLIA Code: 11D2252150
  • Facility Name: GREENLEAF FAMILY CENTERS
  • Facility Address: 4775 JIMMY CARTER BOULEVARD #300
    NORCROSS, GA
    ZIP 30093
  • Facility Phone: 678 894-0288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERMEIA AUSTIN
  • NPI Number: 1821758293
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2252150
LAB Type Physician Office
Facility Name GREENLEAF FAMILY CENTERS
Street 4775 JIMMY CARTER BOULEVARD #300
City NORCROSS
State GA
ZIP 30093
Phone 678 894-0288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director CHERMEIA AUSTIN

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