11D2276215 CLIA NUMBER - HERO CARE CLINIC

Laboratory Demographics

  • CLIA Code: 11D2276215
  • Facility Name: HERO CARE CLINIC
  • Facility Address: 6130 HOTEL STREET
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 800 829-4933
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: VICTORIA RANDLE
  • NPI Number: 1316643315
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2276215
LAB Type Independent
Facility Name HERO CARE CLINIC
Street 6130 HOTEL STREET
City AUSTELL
State GA
ZIP 30106
Phone 800 829-4933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Independent
Lab Director VICTORIA RANDLE

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