Organization
CLIO LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARAFAT MAHMUD DIAB (OWNER)
(334) 233-1607
Entity
Organization
Contact information
Practice address
1130 HURRICANE SHOALS RD NE STE 2300, LAWRENCEVILLE, GA 30043-4871
(470) 395-7370
(470) 395-7371
Mailing address
1130 HURRICANE SHOALS RD NE STE 2300, LAWRENCEVILLE, GA 30043-4871
(470) 395-7370
(470) 395-7371
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2108137
CLIA
GA
Enumeration date
12/10/2015
Last updated
09/19/2019
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