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CIVICORE LLC
NPI 1912866591
Clinic/Center in Acworth, GA

Active since January 19, 2026CLIA 11D2336940 · Waiver
3950 COBB PKWY NW STE 101, ACWORTH, GA 30101(770) 752-2663(770) 415-8277 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Civicore Llc NPPES

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

CIVICORE LLC (NPI 1912866591) is a healthcare organization registered as a clinic/center in Acworth, Georgia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists India L Harrison, Owner / Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1912866591
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCIVICORE LLC
Location Address3950 COBB PKWY NW STE 101Acworth, GA 30101-9522
Mailing Address3950 Cobb Pkwy Nw Ste 101Acworth, GA 30101-9522 · (770) 762-2663 · Fax (770) 415-8277
Phone(770) 752-2663
Fax(770) 415-8277
Organization SubpartNo
Authorized OfficialIndia L HarrisonOwner / Authorized Representative · (770) 762-2663
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1912866591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3950 COBB PKWY NW STE 101, Acworth, GA 30101
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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 11D2336940

Civicore LLC · Acworth, GA
Active · expires Jan 13, 2028
CLIA Number11D2336940
Laboratory TypeIndependent
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorIndia L. Harrison
Laboratory Phone(770) 762-2663
Laboratory LocationCivicore LLC3950 Cobb Parkway, NW, Suite 101, Acworth, GA 30101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Civicore LLC's NPI number?

The NPI number for Civicore LLC is 1912866591. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Civicore LLC located?

Civicore LLC is located at 3950 Cobb Pkwy NW Ste 101, Acworth, GA 30101. The listed phone number is (770) 752-2663.

What is Civicore LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Civicore LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2336940) is associated with this NPI, valid through January 13, 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 Civicore LLC was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.