11D2305134 CLIA NUMBER - INTEGRITY GARDEN DIAGNOSTIC AND LAB LLC

Laboratory Demographics

  • CLIA Code: 11D2305134
  • Facility Name: INTEGRITY GARDEN DIAGNOSTIC AND LAB LLC
  • Facility Address: 2763 HIGHWAY 138 E, SUITE A
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 770 703-1387
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SAGITTARIUS CONERLY
  • NPI Number: 1922658186
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2305134
LAB Type Independent
Facility Name INTEGRITY GARDEN DIAGNOSTIC AND LAB LLC
Street 2763 HIGHWAY 138 E, SUITE A
City JONESBORO
State GA
ZIP 30236
Phone 770 703-1387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Independent
Lab Director SAGITTARIUS CONERLY

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