11D2264060 CLIA NUMBER - EASY GO MOBILE LAB SERVICE, LLC

Laboratory Demographics

  • CLIA Code: 11D2264060
  • Facility Name: EASY GO MOBILE LAB SERVICE, LLC
  • Facility Address: 1775 PARKER ROAD, SOUTHEAST
    CONYERS, GA
    ZIP 30094
  • Facility Phone: 706 438-4747
  • Facility Type: Other - MOBILE LAB DRAW STATION
  • Facility Type: Waiver
  • Lab Director: CRYSTAL HARDY
  • NPI Number: 1538837349
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 11D2264060
LAB Type Other - MOBILE LAB DRAW STATION
Facility Name EASY GO MOBILE LAB SERVICE, LLC
Street 1775 PARKER ROAD, SOUTHEAST
City CONYERS
State GA
ZIP 30094
Phone 706 438-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Other - MOBILE LAB DRAW STATION
Lab Director CRYSTAL HARDY

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