NPI age
6 years
Enumerated 2019-07-23
● Active Type 2 · Organization
Certivia Laboratories Llc
Certivia Laboratories Llc is 1 of 621 clinical medical laboratory organizations in Georgia.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hafeez
General Manager / Owner
Last NPPES update
2024-05-16
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
6 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
2166 W Park Ct Ste F
Stone Mountain, GA 300873546
Mailing address
Po Box 920588
Peachtree Corners, GA 300100588
Authorized official
Tariq Hafeez
General Manager / Owner
📞 4046178550
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CERTIVIA LAB
-
Certivia Lab
-
CERTIVIA LAB
Practice context
Single-site organization. Only one practice location on file.
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