11D2288333 CLIA NUMBER - ZION HEALING CENTER OF GEORGIA LLC

Laboratory Demographics

CLIA Number: 11D2288333

Facility Name: ZION HEALING CENTER OF GEORGIA LLC

Facility Address:
1899 POWERS FERRY ROAD SE, SUITE 375
ATLANTA, GA
ZIP 30339
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Facility Phone Number: 678 978-4582

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1235919572

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	11D2288333
LAB Type	Ambulance
Facility Name	ZION HEALING CENTER OF GEORGIA LLC
Street	1899 POWERS FERRY ROAD SE, SUITE 375
City	ATLANTA
State	GA
ZIP	30339
Phone	678 978-4582
CertificateType	4
CertificateEffectiveDate	8/24/2023
CertificateExpirationDate	8/23/2025
FacilityType	Waiver

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