11D0705323 CLIA NUMBER - Tara Dermatology Center

Laboratory Demographics

CLIA Number:
11D0705323

Facility Name:
Tara Dermatology Center

Facility Address:
191 Medical Boulevard
Stockbridge, GA
ZIP 30281

Facility Phone Number:
(770) 991-1000

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Certificate of Compliance

Map - Location of Facility

CLIA Record

No. Field Name Field Value
1 CLIA Number 11D0705323
2 LAB Type PHYSICIAN OFFICE
3 Facility Name Tara Dermatology Center
4 Street 191 Medical Boulevard
5 City Stockbridge
6 State GA
7 ZIP 30281
8 Phone 7709911000

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export




This page was last updated on: 8/23/2014