11D0258168 CLIA NUMBER - EASTSIDE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0258168
  • Facility Name: EASTSIDE MEDICAL CENTER
  • Facility Address: 1700 MEDICAL WAY
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 770 985-7452
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SHANNON O'BRIEN
  • NPI Number: 1922456045
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D0258168
LAB Type Hospital
Facility Name EASTSIDE MEDICAL CENTER
Street 1700 MEDICAL WAY
City SNELLVILLE
State GA
ZIP 30078
Phone 770 985-7452
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. SHANNON O'BRIEN

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