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Certivia Laboratories LLC — NPI 1801449327, Stone Mountain, GA | NPI Central

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NPI 1801449327

OrganizationActive

Certivia Laboratories LLC

NPI 1801449327 · Clinical Medical Laboratory · Stone Mountain, GA

Provider details

NPI number: 1801449327
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Organization subpart: No
Authorized official: Tariq Hafeez, General Manager / Owner(404) 617-8550

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000X
Laboratories

Practice location

2166 W Park Ct Ste F

Stone Mountain, GA 30087-3546

Phone: (770) 696-2522

Fax: (844) 941-1992

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

Po Box 920588

Peachtree Corners, GA 30010-0588

Other names (DBA / former)

Doing business as: Certivia Lab
Doing business as: Certivia Lab
Other name: Certivia Lab

Registry dates

Enumerated: 2019-07-23
Last updated: 2024-05-16
Certified: 2024-05-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.