Organization
CONFIRMATRIX LABORATORY INC
Active
Organization
CONFIRMATRIX LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN DURHAM (CEO)
(678) 407-9818
Entity
Organization
Contact information
Practice address
1770 CEDARS RD STE 200, LAWRENCEVILLE, GA 30045-6702
(678) 407-9818
(678) 407-9819
Mailing address
1770 CEDARS RD STE 200, LAWRENCEVILLE, GA 30045-6702
(678) 407-9818
(678) 407-9819
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12030R
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129831A
—
GA
01
—
11D2047828
CLIA
GA
Enumeration date
11/09/2012
Last updated
08/09/2016
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