11D2270330 CLIA NUMBER - CORNER STONE PHC, LLC

Laboratory Demographics

  • CLIA Code: 11D2270330
  • Facility Name: CORNER STONE PHC, LLC
  • Facility Address: 10 WILSON ROAD, SUITE 104
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 678 704-9143
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KATHY REID
  • NPI Number: 1083388284
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2270330
LAB Type Home Health Agency
Facility Name CORNER STONE PHC, LLC
Street 10 WILSON ROAD, SUITE 104
City STOCKBRIDGE
State GA
ZIP 30281
Phone 678 704-9143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Home Health Agency
Lab Director KATHY REID

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