11D2321388 CLIA NUMBER - PRUITTPLACE-EAST COBB,LLC

Laboratory Demographics

  • CLIA Code: 11D2321388
  • Facility Name: PRUITTPLACE-EAST COBB,LLC
  • Facility Address: 3039 SANDY PLAINS ROAD
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: 770 279-6200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CINDY BROWN
  • NPI Number: 1427841410
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2321388
LAB Type Assisted Living Facility
Facility Name PRUITTPLACE-EAST COBB,LLC
Street 3039 SANDY PLAINS ROAD
City MARIETTA
State GA
ZIP 30066
Phone 770 279-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Assisted Living Facility
Lab Director CINDY BROWN

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