11D2277086 CLIA NUMBER - HEALTH EDUCATION & LEADERSHIP

Laboratory Demographics

CLIA Number: 11D2277086

Facility Name: HEALTH EDUCATION & LEADERSHIP

Facility Address:
3915 CASCADE ROAD, SUITE T115
ATLANTA, GA
ZIP 30331
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Facility Phone Number: 404 564-7749

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1215672555

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2277086
LAB Type	Federally Qualified Health Center
Facility Name	HEALTH EDUCATION & LEADERSHIP
Street	3915 CASCADE ROAD, SUITE T115
City	ATLANTA
State	GA
ZIP	30331
Phone	404 564-7749
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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