11D2307793 CLIA NUMBER - ONE STOP MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 11D2307793
  • Facility Name: ONE STOP MEDICAL CLINIC
  • Facility Address: 6559 CHURCH STREET
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 678 383-6944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUTH MAYS
  • NPI Number: 1669796090
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2307793
LAB Type Physician Office
Facility Name ONE STOP MEDICAL CLINIC
Street 6559 CHURCH STREET
City DOUGLASVILLE
State GA
ZIP 30134
Phone 678 383-6944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director RUTH MAYS

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