11D0255284 CLIA NUMBER - WELLSTAR EAST COBB MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0255284
  • Facility Name: WELLSTAR EAST COBB MEDICAL CENTER
  • Facility Address: 1010 JOHNSON FERRY RD
    MARIETTA, GA
    ZIP 30068
  • Facility Phone: 770 579-7980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE PATEL
  • NPI Number: 1194021733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0255284
LAB Type Physician Office
Facility Name WELLSTAR EAST COBB MEDICAL CENTER
Street 1010 JOHNSON FERRY RD
City MARIETTA
State GA
ZIP 30068
Phone 770 579-7980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director JULIE PATEL

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This page was last updated on: 9/29/2025