11D2306882 CLIA NUMBER - CARROLL COUNTY CHILD ADVOCACY CENTER INC

Laboratory Demographics

  • CLIA Code: 11D2306882
  • Facility Name: CARROLL COUNTY CHILD ADVOCACY CENTER INC
  • Facility Address: 110 CORPORATE DRIVE
    CARROLLTON, GA
    ZIP 30117
  • Facility Phone: 770 832-8733
  • Facility Type: Other - SEXUAL ASSAULT NURSE
  • Facility Type: Waiver
  • Lab Director: ALLISON KEY
  • NPI Number: 1407916455
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2306882
LAB Type Other - SEXUAL ASSAULT NURSE
Facility Name CARROLL COUNTY CHILD ADVOCACY CENTER INC
Street 110 CORPORATE DRIVE
City CARROLLTON
State GA
ZIP 30117
Phone 770 832-8733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Other - SEXUAL ASSAULT NURSE
Lab Director ALLISON KEY

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