HARBIN CLINIC LABORATORY
NPI 1063698595
Clinical Medical Laboratory in Rome, GA

Active since January 15, 2008CLIA Certified · 2 labs
1825 MARTHA BERRY BLVD NW, ROME, GA 30165(706) 295-5331(706) 236-6423 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Harbin Clinic Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBIN CLINIC LABORATORY (NPI 1063698595) is a healthcare organization registered as a clinical medical laboratory in Rome, Georgia and active in the NPI registry since January 2008. The organization holds 2 active CLIA laboratory certificates and lists Kenneth F. Davis, President, as its authorized official.

NPPES Registry Identity

NPI1063698595
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameHARBIN CLINIC, LLC
Location Address1825 MARTHA BERRY BLVD NWRome, GA 30165-1625
Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000
Fax(706) 236-6423
Organization SubpartYes
Authorized OfficialKenneth F. DavisPresident · (762) 235-1000
Enumeration DateJanuary 15, 2008
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1063698595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in GA · 057-007
Definition
(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 body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1825 MARTHA BERRY BLVD NW, Rome, GA 30165

Other Names 1

Doing Business AsHarbin Clinic Laboratory

Other Identifiers 1

Medicaid000315609AGA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2169008

Harbin Clinic 200 Gentilly Blvd · Cartersville, GA
Active · expires Jul 14, 2027
CLIA Number11D2169008
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorChristopher E. Sward
Laboratory Phone(762) 235-1000
Laboratory LocationHarbin Clinic 200 Gentilly Blvd200 Gentilly Blvd, Cartersville, GA 30120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2166262

Harbin Clinic 1825 Martha Berry Blvd · Rome, GA
Active · expires May 14, 2027
CLIA Number11D2166262
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJohn Scott A. Carroll
Laboratory Phone(762) 235-1000
Laboratory LocationHarbin Clinic 1825 Martha Berry Blvd1825 Martha Berry Blvd SW, Rome, GA 30165
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Orthopaedic Surgery
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Nurse Practitioner
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Family Medicine
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Family Medicine
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Nurse Practitioner
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Nurse Practitioner (Family)
1825 MARTHA BERRY BLVD NW
ROME, GA 30165
Nurse Practitioner
1825 MARTHA BERRY BLVD NW
ROME, GA 30165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbin Clinic, LLC's NPI number?

The NPI number for Harbin Clinic, LLC is 1063698595. It was assigned to this organization in the NPPES registry on January 15, 2008. The provider is doing business as Harbin Clinic Laboratory.

Where is Harbin Clinic, LLC located?

Harbin Clinic, LLC is located at 1825 Martha Berry Blvd NW, Rome, GA 30165. The listed phone number is (706) 295-5331.

What is Harbin Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Harbin Clinic, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Harbin Clinic, LLC was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.