11D2291769 CLIA NUMBER - MOREHOUSE HEALTHCARE EAST POINT

Laboratory Demographics

  • CLIA Code: 11D2291769
  • Facility Name: MOREHOUSE HEALTHCARE EAST POINT
  • Facility Address: 1513 CLEVELAND AVENUE, BUILDING 500
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 752-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER ROOKE
  • NPI Number: 1659401487
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2291769
LAB Type Physician Office
Facility Name MOREHOUSE HEALTHCARE EAST POINT
Street 1513 CLEVELAND AVENUE, BUILDING 500
City EAST POINT
State GA
ZIP 30344
Phone 404 752-1000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director JENNIFER ROOKE

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