Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Certivia Laboratories LLC

Organization Clinical Medical Laboratory · NPI 1801449327

Certivia Laboratories LLC is a Clinical Medical Laboratory in Stone Mountain, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2166 W Park Ct Ste F
Stone Mountain, GA 30087-3546
Phone: (770) 696-2522
Fax: (844) 941-1992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1801449327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tariq Hafeez — General Manager / Owner · (404) 617-8550
Other names Certivia Lab; Certivia Lab; Certivia Lab
NPI enumeratedJuly 23, 2019
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing addressPo Box 920588, Peachtree Corners, GA 30010-0588

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