CLARKSTON COMMUNITY HEALTH CENTER, INC.
NPI 1629450143
Clinic/Center - Primary Care in Clarkston, GA

Active since June 20, 2015CLIA 11D2171261 · Waiver
3700 MARKET ST, SUITE E-1, CLARKSTON, GA 30021(678) 359-2060 Get Directions Write a Review

NPPES record last updated: June 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clarkston Community Health Center, Inc. NPPES

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

CLARKSTON COMMUNITY HEALTH CENTER, INC. (NPI 1629450143) is a healthcare organization registered as a primary care in Clarkston, Georgia and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Saeed Raees, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629450143
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLARKSTON COMMUNITY HEALTH CENTER, INC.
Location Address3700 MARKET ST, SUITE E-1Clarkston, GA 30021-2653
Mailing Address3700 Market St, Suite E-1Clarkston, GA 30021-2653 · (678) 359-2060
Organization SubpartNo
Authorized OfficialSaeed RaeesCeo · (404) 512-9675
Enumeration DateJune 20, 2015
NPI 1629450143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3700 MARKET ST, Clarkston, GA 30021

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 11D2171261

Clarkston Community Health Center, Inc · Clarkston, GA
Active · expires Aug 27, 2027
CLIA Number11D2171261
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorGulshan Harjee
Laboratory Phone(678) 383-1383
Laboratory LocationClarkston Community Health Center, Inc3700 Market Street, Suite E1, Clarkston, GA 30021
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 4

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

Family Medicine
3700 MARKET ST, STE C
CLARKSTON, GA 30021
Family Medicine
3700 MARKET ST, STE C
CLARKSTON, GA 30021
Nurse Practitioner (Family)
3700 MARKET ST
CLARKSTON, GA 30021
Dentist (General Practice)
3700 MARKET ST, STE A2
CLARKSTON, GA 30021

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 Clarkston Community Health Center, Inc.'s NPI number?

The NPI number for Clarkston Community Health Center, Inc. is 1629450143. It was assigned to this organization in the NPPES registry on June 20, 2015.

Where is Clarkston Community Health Center, Inc. located?

Clarkston Community Health Center, Inc. is located at 3700 Market St Suite E-1, Clarkston, GA 30021. The listed phone number is (678) 359-2060.

What is Clarkston Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Clarkston Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2171261) is associated with this NPI, valid through August 27, 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 Clarkston Community Health Center, Inc. was last updated on June 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.