Organization · Type 2 NPI

Certivia Laboratories LLC

Clinical Medical Laboratory · Stone Mountain, GA

NPI number 1801449327 Active

Practice location

2166 W Park Ct Ste F
Stone Mountain, GA 30087-3546

Call (770) 696-2522 Map

Fax (844) 941-1992

Mailing address

PO Box 920588
Peachtree Corners, GA 30010-0588

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1801449327
Entity type: Organization (Type 2)
Issued: Jul 23, 2019
Last updated: May 16, 2024
Status: Active

Other names

<unavail>
Certivia Lab · doing business as
Certivia Lab · doing business as
Certivia Lab · other name

Authorized official

Tariq Hafeez
General Manager / Owner
(404) 617-8550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801449327

Certivia Laboratories LLC's National Provider Identifier is 1801449327, issued on Jul 23, 2019. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Stone Mountain, GA. The record was last updated on May 16, 2024.