11D0687087 CLIA NUMBER - NORTHSIDE HOSPITAL, INC - GCS/DECATUR

Laboratory Demographics

CLIA Number: 11D0687087

Facility Name: NORTHSIDE HOSPITAL, INC - GCS/DECATUR

Facility Address:
2712 LAWRENCEVILLE HWY
DECATUR, GA
ZIP 30033
Get Directions

Facility Phone Number: 770 496-5555

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1205481736

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D0687087
LAB Type	Physician Office
Facility Name	NORTHSIDE HOSPITAL, INC - GCS/DECATUR
Street	2712 LAWRENCEVILLE HWY
City	DECATUR
State	GA
ZIP	30033
Phone	770 496-5555
CertificateType	1
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Accreditation

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