11D2259556 CLIA NUMBER - SMB NURSING CONCIERGE LLC

Laboratory Demographics

  • CLIA Code: 11D2259556
  • Facility Name: SMB NURSING CONCIERGE LLC
  • Facility Address: 1003 WORTH COURT
    RIVERDALE, GA
    ZIP 30296
  • Facility Phone: 205 863-8584
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: STEPHANIE N. MADISON-BRYANT
  • NPI Number: 1346901188
  • Taxonomy: 163WC1500X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 11D2259556
LAB Type Mobile Laboratory
Facility Name SMB NURSING CONCIERGE LLC
Street 1003 WORTH COURT
City RIVERDALE
State GA
ZIP 30296
Phone 205 863-8584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Mobile Laboratory
Lab Director STEPHANIE N. MADISON-BRYANT

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