11D2311607 CLIA NUMBER - BAMP CLINICS GEORGIA, LLC

Laboratory Demographics

  • CLIA Code: 11D2311607
  • Facility Name: BAMP CLINICS GEORGIA, LLC
  • Facility Address: 1357 HEMBREE ROAD, SUITE 235
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 678 802-8665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT HARRIS
  • NPI Number: 1982108098
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2311607
LAB Type Physician Office
Facility Name BAMP CLINICS GEORGIA, LLC
Street 1357 HEMBREE ROAD, SUITE 235
City ROSWELL
State GA
ZIP 30076
Phone 678 802-8665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director ROBERT HARRIS

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