11D2300242 CLIA NUMBER - INSTANT LABS AND TESTING CENTER LTC CO

Laboratory Demographics

  • CLIA Code: 11D2300242
  • Facility Name: INSTANT LABS AND TESTING CENTER LTC CO
  • Facility Address: 1565 GA-138, SUITE C
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 470 260-4624
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SANTANA SIMS
  • NPI Number: 1598520397
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2300242
LAB Type Independent
Facility Name INSTANT LABS AND TESTING CENTER LTC CO
Street 1565 GA-138, SUITE C
City CONYERS
State GA
ZIP 30013
Phone 470 260-4624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Independent
Lab Director SANTANA SIMS

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