11D2296769 CLIA NUMBER - GEODE HEALTH - ALPHARETTA

Laboratory Demographics

  • CLIA Code: 11D2296769
  • Facility Name: GEODE HEALTH - ALPHARETTA
  • Facility Address: 286 SOUTH MAIN STREET, SUITE 2000
    ALPHARETTA, GA
    ZIP 30009
  • Facility Phone: 678 263-3080
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: HOPE FETTLER
  • NPI Number: 1609766427
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2296769
LAB Type Independent
Facility Name GEODE HEALTH - ALPHARETTA
Street 286 SOUTH MAIN STREET, SUITE 2000
City ALPHARETTA
State GA
ZIP 30009
Phone 678 263-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Independent
Lab Director HOPE FETTLER

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