11D2253544 CLIA NUMBER - JENCARE SENIOR MEDICAL CENTER - HAMMOND PARK

Laboratory Demographics

  • CLIA Code: 11D2253544
  • Facility Name: JENCARE SENIOR MEDICAL CENTER - HAMMOND PARK
  • Facility Address: 2720 METROPOLITAN PARKWAY, SW
    ATLANTA, GA
    ZIP 30315
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER CHEN
  • NPI Number: 1013661438
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 11D2253544
LAB Type Physician Office
Facility Name JENCARE SENIOR MEDICAL CENTER - HAMMOND PARK
Street 2720 METROPOLITAN PARKWAY, SW
City ATLANTA
State GA
ZIP 30315
Phone 305 842-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER CHEN

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