11D2257434 CLIA NUMBER - MARIETTA CITY SCHOOLS

Laboratory Demographics

CLIA Number: 11D2257434

Facility Name: MARIETTA CITY SCHOOLS

Facility Address:
250 HOWARD STREET
MARIETTA, GA
ZIP 30060
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Facility Phone Number: 770 422-3500

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1538123104

Taxonomy: 101YP2500X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	11D2257434
LAB Type	School/Student Health Service
Facility Name	MARIETTA CITY SCHOOLS
Street	250 HOWARD STREET
City	MARIETTA
State	GA
ZIP	30060
Phone	770 422-3500
CertificateType	4
CertificateEffectiveDate	4/5/2024
CertificateExpirationDate	4/4/2026
FacilityType	Waiver

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