11D2329227 CLIA NUMBER - EMORY CLINIC MOBILE PSA LAB

Laboratory Demographics

  • CLIA Code: 11D2329227
  • Facility Name: EMORY CLINIC MOBILE PSA LAB
  • Facility Address: 1784 NORTH DECATUR ROAD, ROOM 419
    ATLANTA, GA
    ZIP 30322
  • Facility Phone: 404 778-4152
  • Facility Type: Mobile Laboratory
  • Facility Type: Accreditation
  • Lab Director: DAVID ALTER
  • NPI Number: 1295748531
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2329227
LAB Type Mobile Laboratory
Facility Name EMORY CLINIC MOBILE PSA LAB
Street 1784 NORTH DECATUR ROAD, ROOM 419
City ATLANTA
State GA
ZIP 30322
Phone 404 778-4152
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Mobile Laboratory
Lab Director DAVID ALTER

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