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FORMAN LAB & SCREENING SERVICES
NPI 1285508374
Technician, Pathology - Phlebotomy in Marietta, GA

Active since October 01, 2025CLIA 11D2327137 · Waiver
109 ANDERSON ST SE STE 100C, MARIETTA, GA 30060(770) 765-9472(770) 800-8147 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forman Lab & Screening Services NPPES

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

FORMAN LAB & SCREENING SERVICES (NPI 1285508374) is a healthcare organization registered as a phlebotomy in Marietta, Georgia and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Symphony Forman, Owner, as its authorized official.

NPPES Registry Identity

NPI1285508374
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameFORMAN LAB & SCREENING SERVICES
Location Address109 ANDERSON ST SE STE 100CMarietta, GA 30060-8610
Mailing Address109 Anderson St Se Ste 100cMarietta, GA 30060-8610 · (770) 765-9472 · Fax (770) 800-8147
Phone(770) 765-9472
Fax(770) 800-8147
Organization SubpartNo
Authorized OfficialSymphony FormanOwner · (770) 765-9472
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1285508374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
109 ANDERSON ST SE STE 100C, Marietta, GA 30060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 11D2327137

Forman Lab & Screening Services · Marietta, GA
Active · expires Jul 16, 2027
CLIA Number11D2327137
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorSymphony D. Forman
Laboratory Phone(470) 279-2843
Laboratory LocationForman Lab & Screening Services109 Anderson Street SE, Suite 100C, Marietta, GA 30060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SYMPHONY DESERAY FORMAN
Technician, Pathology (Phlebotomy)
109 ANDERSON ST SE STE 100C
MARIETTA, GA 30060
Cobb County (770) 765-9472

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 Forman Lab & Screening Services's NPI number?

The NPI number for Forman Lab & Screening Services is 1285508374. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Forman Lab & Screening Services located?

Forman Lab & Screening Services is located at 109 Anderson St SE Ste 100C, Marietta, GA 30060. The listed phone number is (770) 765-9472.

What is Forman Lab & Screening Services's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does Forman Lab & Screening Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2327137) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forman Lab & Screening Services was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.