CLIA Code Details

Clinical Laboratory Code : 11D0954037

GAINES PARK (OTHER - PERSONAL CARE HOME)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 11D0954037
Clinical laboratory number
Lab Name GAINES PARK
Laboratory Name
Lab Type Other - PERSONAL CARE HOME
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 770-424-1414
Laboratory telephone number
Fax 770-420-1205
Fax number of the provider.

Facility Location

Street Address 1740 OLD HWY 41
Primary location adress line
City KENNESAW
Primary location city name
State GA
Primary location state name
Zip 30152
Primary location postal code

Directions to "GAINES PARK" Facility Location

Yours Location (Starting point) Practice Location (Destination)

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