11D0260593 CLIA NUMBER - NORTHSIDE/ACC-TOWER

Laboratory Demographics

  • CLIA Code: 11D0260593
  • Facility Name: NORTHSIDE/ACC-TOWER
  • Facility Address: 5670 PEACHTREE DUNWOODY RD, SUITE 110O
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 851-2300
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SYED T. MAHMOOD
  • NPI Number: 1639178213
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0260593
LAB Type Physician Office
Facility Name NORTHSIDE/ACC-TOWER
Street 5670 PEACHTREE DUNWOODY RD, SUITE 110O
City ATLANTA
State GA
ZIP 30342
Phone 404 851-2300
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. SYED T. MAHMOOD

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This page was last updated on: 3/20/2025