1. Home
  2. Directory
  3. Georgia
  4. Stone Mountain
  5. Clinical Medical Laboratory
  6. NPI Profile

CERTIVIA LAB
NPI 1801449327
Clinical Medical Laboratory in Stone Mountain, GA

Active since July 23, 2019CLIA 11D2168354 · Accreditation
2166 W PARK CT STE F, STONE MOUNTAIN, GA 30087(770) 696-2522(844) 941-1992 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Jul 5, 2023, Feb 13, 2023 and 2 more (5 updates tracked since 2019).

About Certivia Lab NPPES

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

CERTIVIA LAB (NPI 1801449327) is a healthcare organization registered as a clinical medical laboratory in Stone Mountain, Georgia and active in the NPI registry since July 2019. The organization holds an CLIA Accreditation certificate valid through January 25, 2028 and lists Tariq Hafeez, General Manager / Owner, as its authorized official.

NPPES Registry Identity

NPI1801449327
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCERTIVIA LABORATORIES LLC
Location Address2166 W PARK CT STE FStone Mountain, GA 30087-3546
Mailing AddressPo Box 920588Peachtree Corners, GA 30010-0588 · (770) 696-2522 · Fax (844) 941-1992
Phone(770) 696-2522
Fax(844) 941-1992
Organization SubpartNo
Authorized OfficialTariq HafeezGeneral Manager / Owner · (404) 617-8550
Enumeration DateJuly 23, 2019
Last NPPES UpdateMay 16, 20245 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1801449327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
2166 W PARK CT STE F, Stone Mountain, GA 30087
Open in Google Maps ↗

Other Names 1

Doing Business AsCertivia Lab

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 Accreditation 11D2168354

Certivia Laboratories, LLC · Stone Mountain, GA
Active · expires Jan 25, 2028
CLIA Number11D2168354
Laboratory TypeIndependent
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDr. Robert E. Burnette
Laboratory Phone(770) 696-2522
Laboratory LocationCertivia Laboratories, LLC2166 West Park Court, Suite F, Stone Mountain, GA 30087
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
143 services82 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
122 services21 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
119 services58 patients

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 Certivia Laboratories LLC's NPI number?

The NPI number for Certivia Laboratories LLC is 1801449327. It was assigned to this organization in the NPPES registry on July 23, 2019. The provider is doing business as Certivia Lab.

Where is Certivia Laboratories LLC located?

Certivia Laboratories LLC is located at 2166 W Park Ct Ste F, Stone Mountain, GA 30087. The listed phone number is (770) 696-2522.

What is Certivia Laboratories LLC's specialty?

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

Does Certivia Laboratories LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D2168354) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Certivia Laboratories LLC was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.