Organization
CERTIVIA LABORATORIES LLC
Active
Other names
Certivia Lab, CERTIVIA LAB
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ HAFEEZ (GENERAL MANAGER / OWNER)
(404) 617-8550
Entity
Organization
Contact information
Practice address
2166 W PARK CT STE F, STONE MOUNTAIN, GA 30087-3546
(770) 696-2522
(844) 941-1992
Mailing address
PO BOX 920588, PEACHTREE CORNERS, GA 30010-0588
(770) 696-2522
(844) 941-1992
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
05/16/2024
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