11D2316255 CLIA NUMBER - TRIAD MED SUPPORT, LLC

Laboratory Demographics

  • CLIA Code: 11D2316255
  • Facility Name: TRIAD MED SUPPORT, LLC
  • Facility Address: 122 S MAIN STREET
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 470 580-1352
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BILINDA A. FRANCIS
  • NPI Number: 1275392227
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2316255
LAB Type Practitioner Other
Facility Name TRIAD MED SUPPORT, LLC
Street 122 S MAIN STREET
City JONESBORO
State GA
ZIP 30236
Phone 470 580-1352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Practitioner Other
Lab Director BILINDA A. FRANCIS

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