11D2254134 CLIA NUMBER - EMERGE HEALING CENTER LLC

Laboratory Demographics

CLIA Number: 11D2254134

Facility Name: EMERGE HEALING CENTER LLC

Facility Address:
6110 MCFARLAND STATION DRIVE, SUITE 1104
ALPHARETTA, GA
ZIP 30004
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Facility Phone Number: 770 573-0055

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1659026565

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2254134
LAB Type	Independent
Facility Name	EMERGE HEALING CENTER LLC
Street	6110 MCFARLAND STATION DRIVE, SUITE 1104
City	ALPHARETTA
State	GA
ZIP	30004
Phone	770 573-0055
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024