11D0685749 CLIA NUMBER - NORTHSIDE/ACC - ALPHARETTA

Laboratory Demographics

  • CLIA Code: 11D0685749
  • Facility Name: NORTHSIDE/ACC - ALPHARETTA
  • Facility Address: 3400-C OLD MILTON PKWY, SUITE 400
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 740-9664
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SYED T. MAHMOOD
  • NPI Number: 1699228643
  • Taxonomy: 367H00000X - Anesthesiologist Assistant

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CLIA Record

Field Name Field Value
CLIA Number 11D0685749
LAB Type Physician Office
Facility Name NORTHSIDE/ACC - ALPHARETTA
Street 3400-C OLD MILTON PKWY, SUITE 400
City ALPHARETTA
State GA
ZIP 30005
Phone 770 740-9664
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: 9/29/2025