11D0261768 CLIA NUMBER - ATHENS PULMONARY AND ALLERGY PC

Laboratory Demographics

CLIA Number: 11D0261768

Facility Name: ATHENS PULMONARY AND ALLERGY PC

Facility Address:
3320 OLD JEFFERSON RD, BLDG 200, SUITE A
ATHENS, GA
ZIP 30607
Get Directions

Facility Phone Number: 706 549-5560

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649337510

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	11D0261768
LAB Type	Physician Office
Facility Name	ATHENS PULMONARY AND ALLERGY PC
Street	3320 OLD JEFFERSON RD, BLDG 200, SUITE A
City	ATHENS
State	GA
ZIP	30607
Phone	706 549-5560
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024