11D2289202 CLIA NUMBER - ROVE HOLDINGS, LLC

Laboratory Demographics

CLIA Number: 11D2289202

Facility Name: ROVE HOLDINGS, LLC

Facility Address:
500 SAWGRASS VIEW
FAIRBURN, GA
ZIP 30213
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Facility Phone Number: 404 558-5313

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1669236089

Taxonomy: 246QL0900X - Specialist/Technologist, Pathology

CLIA Record

Field Name	Field Value
CLIA Number	11D2289202
LAB Type	Mobile Laboratory
Facility Name	ROVE HOLDINGS, LLC
Street	500 SAWGRASS VIEW
City	FAIRBURN
State	GA
ZIP	30213
Phone	404 558-5313
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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