11D2303901 CLIA NUMBER - PRECISION LAB SERVICES

Laboratory Demographics

  • CLIA Code: 11D2303901
  • Facility Name: PRECISION LAB SERVICES
  • Facility Address: 1201 W PEACHTREE STREET, NW, 2625
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 912 980-1998
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TIESHA GRANT
  • NPI Number: 1851154660
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2303901
LAB Type Mobile Laboratory
Facility Name PRECISION LAB SERVICES
Street 1201 W PEACHTREE STREET, NW, 2625
City ATLANTA
State GA
ZIP 30309
Phone 912 980-1998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Mobile Laboratory
Lab Director TIESHA GRANT

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