11D2296448 CLIA NUMBER - ASTRAEUS LAB, LLC

Laboratory Demographics

  • CLIA Code: 11D2296448
  • Facility Name: ASTRAEUS LAB, LLC
  • Facility Address: 1240 JOHNSON FERRY PLACE, SUITE 102
    MARIETTA, GA
    ZIP 30068
  • Facility Phone: 678 615-8151
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ROBERT M. DAVID
  • NPI Number: 1013784503
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2296448
LAB Type Independent
Facility Name ASTRAEUS LAB, LLC
Street 1240 JOHNSON FERRY PLACE, SUITE 102
City MARIETTA
State GA
ZIP 30068
Phone 678 615-8151
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Independent
Lab Director DR. ROBERT M. DAVID

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