11D2303459 CLIA NUMBER - THE LAB FAIRIES LLC

Laboratory Demographics

  • CLIA Code: 11D2303459
  • Facility Name: THE LAB FAIRIES LLC
  • Facility Address: 741 PIEDMONT AVENUE NE
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 552-9753
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: CAMESA SIMS
  • NPI Number: 1427800853
  • Taxonomy: 246RP1900X - Technician, Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2303459
LAB Type Independent
Facility Name THE LAB FAIRIES LLC
Street 741 PIEDMONT AVENUE NE
City ATLANTA
State GA
ZIP 30308
Phone 404 552-9753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Independent
Lab Director CAMESA SIMS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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