11D0670613 CLIA NUMBER - ALAN D GLASSMAN MD, PC

Laboratory Demographics

  • CLIA Code: 11D0670613
  • Facility Name: ALAN D GLASSMAN MD, PC
  • Facility Address: 700 SUNSET DRIVE STE 504
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 549-3943
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALAN D. GLASSMAN
  • NPI Number: 1912057746
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0670613
LAB Type Physician Office
Facility Name ALAN D GLASSMAN MD, PC
Street 700 SUNSET DRIVE STE 504
City ATHENS
State GA
ZIP 30606
Phone 706 549-3943
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director DR. ALAN D. GLASSMAN

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