11D2265977 CLIA NUMBER - HOPE & HEALTH CLINIC, INC

Laboratory Demographics

CLIA Number: 11D2265977

Facility Name: HOPE & HEALTH CLINIC, INC

Facility Address:
4995 FLAT SHOALS PARKWAY
DECATUR, GA
ZIP 30034
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Facility Phone Number: 404 984-8357

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851969232

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2265977
LAB Type	Physician Office
Facility Name	HOPE & HEALTH CLINIC, INC
Street	4995 FLAT SHOALS PARKWAY
City	DECATUR
State	GA
ZIP	30034
Phone	404 984-8357
CertificateType	4
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	Waiver

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