11D2300840 CLIA NUMBER - ABA HOMECARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2300840
  • Facility Name: ABA HOMECARE, LLC
  • Facility Address: 1775 PARKER ROAD, SUITE C-210
    CONYERS, GA
    ZIP 30094
  • Facility Phone: 678 389-1881
  • Facility Type: Other - PRIVATE IN HM HLTHCARE
  • Facility Type: Waiver
  • Lab Director: RENAI ALLEN
  • NPI Number: 1649044744
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2300840
LAB Type Other - PRIVATE IN HM HLTHCARE
Facility Name ABA HOMECARE, LLC
Street 1775 PARKER ROAD, SUITE C-210
City CONYERS
State GA
ZIP 30094
Phone 678 389-1881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Other - PRIVATE IN HM HLTHCARE
Lab Director RENAI ALLEN

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