Organization
CLINICAL LABORATORY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HAGAN (REGISTERED AGENT)
(770) 307-5820
Entity
Organization
Contact information
Practice address
189 W ATHENS ST STE 2-5, WINDER, GA 30680-2295
(770) 307-5820
(678) 963-9946
Mailing address
189 W ATHENS ST STE 2, WINDER, GA 30680-1784
(770) 307-5820
(678) 963-9946
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
007003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00762539A
—
GA
01
—
3500072
EVERCARE
GA
01
—
690007903
RAILROAD MEDICARE
GA
Enumeration date
10/09/2006
Last updated
10/09/2025
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