11D2329094 CLIA NUMBER - CARENOVA INC

Laboratory Demographics

  • CLIA Code: 11D2329094
  • Facility Name: CARENOVA INC
  • Facility Address: 4631 BILL GARDNER PKWY
    LOCUST GROVE, GA
    ZIP 30248
  • Facility Phone: 404 606-8430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA JORDAN
  • NPI Number: 1245122670
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2329094
LAB Type Physician Office
Facility Name CARENOVA INC
Street 4631 BILL GARDNER PKWY
City LOCUST GROVE
State GA
ZIP 30248
Phone 404 606-8430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director TINA JORDAN

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