11D0676409 CLIA NUMBER - NORTHWEST GA HEMATOLOGY & ONCOLOGY, TENNESSEE ONCOLOGY

Laboratory Demographics

  • CLIA Code: 11D0676409
  • Facility Name: NORTHWEST GA HEMATOLOGY & ONCOLOGY, TENNESSEE ONCOLOGY
  • Facility Address: 1504 NORTH THORNTON AVENUE SUITE 102
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 226-0508
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MONICA VERMA
  • NPI Number: 1679897730
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0676409
LAB Type Physician Office
Facility Name NORTHWEST GA HEMATOLOGY & ONCOLOGY, TENNESSEE ONCOLOGY
Street 1504 NORTH THORNTON AVENUE SUITE 102
City DALTON
State GA
ZIP 30720
Phone 706 226-0508
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director MONICA VERMA

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