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11D2263478 CLIA NUMBER - CRUSE MEDICAL CARE

Laboratory Demographics

CLIA Number: 11D2263478

Facility Name: CRUSE MEDICAL CARE

Facility Address:
1844 OLD NORCROSS ROAD
LAWRENCEVILLE, GA
ZIP 30044
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Facility Phone Number: 678 412-5364

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1558431486

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 11D2263478
LAB Type Independent
Facility Name CRUSE MEDICAL CARE
Street 1844 OLD NORCROSS ROAD
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 678 412-5364
CertificateType 4
CertificateEffectiveDate 6/29/2022
CertificateExpirationDate 6/28/2024
FacilityType Waiver

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