11D0255558 CLIA NUMBER - GEORGIA UROLOGY ROSWELL

Laboratory Demographics

  • CLIA Code: 11D0255558
  • Facility Name: GEORGIA UROLOGY ROSWELL
  • Facility Address: 11835 ALPHARETTA HIGHWAY, SUITE 101
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 678 284-4686
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEWIS KRITEMAN
  • NPI Number: 1093174666
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D0255558
LAB Type Physician Office
Facility Name GEORGIA UROLOGY ROSWELL
Street 11835 ALPHARETTA HIGHWAY, SUITE 101
City ROSWELL
State GA
ZIP 30076
Phone 678 284-4686
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director LEWIS KRITEMAN

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