11D0259208 CLIA NUMBER - ATLANTA UROLOGICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 11D0259208
  • Facility Name: ATLANTA UROLOGICAL GROUP PC
  • Facility Address: 285 BOULEVARD NE SUITE 215
    ATLANTA, GA
    ZIP 30312
  • Facility Phone: 404 524-5082
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. THOMAS W. SCHOBORG
  • NPI Number: 1285815258
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0259208
LAB Type Physician Office
Facility Name ATLANTA UROLOGICAL GROUP PC
Street 285 BOULEVARD NE SUITE 215
City ATLANTA
State GA
ZIP 30312
Phone 404 524-5082
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 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director DR. THOMAS W. SCHOBORG

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