11D2276712 CLIA NUMBER - DOUGLASVILLE OPERATIONS, LLC DBA HARMONY AT DOUGLASVILLE

Laboratory Demographics

  • CLIA Code: 11D2276712
  • Facility Name: DOUGLASVILLE OPERATIONS, LLC DBA HARMONY AT DOUGLASVILLE
  • Facility Address: 4595 TIMBER RIDGE DRIVE
    DOUGLASVILLE, GA
    ZIP 30135
  • Facility Phone: 770 525-0137
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PASCHA WILLIAMS
  • NPI Number: 1487846515
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2276712
LAB Type Assisted Living Facility
Facility Name DOUGLASVILLE OPERATIONS, LLC DBA HARMONY AT DOUGLASVILLE
Street 4595 TIMBER RIDGE DRIVE
City DOUGLASVILLE
State GA
ZIP 30135
Phone 770 525-0137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Assisted Living Facility
Lab Director PASCHA WILLIAMS

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