11D2311514 CLIA NUMBER - THRIVE ORTHO AND SPINE

Laboratory Demographics

  • CLIA Code: 11D2311514
  • Facility Name: THRIVE ORTHO AND SPINE
  • Facility Address: 400 TECHNOLOGY COURT SE, SUITE 400 I
    SMYRNA, GA
    ZIP 30082
  • Facility Phone: 678 257-2547
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHIEL PATEL
  • NPI Number: 1306594627
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2311514
LAB Type Ambulatory Surgery Center
Facility Name THRIVE ORTHO AND SPINE
Street 400 TECHNOLOGY COURT SE, SUITE 400 I
City SMYRNA
State GA
ZIP 30082
Phone 678 257-2547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Ambulatory Surgery Center
Lab Director SHIEL PATEL

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