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11D0687187 CLIA NUMBER - GEORGIA STATE UNIVERSITY - ATLANTA GA

Laboratory Demographics

CLIA Number: 11D0687187

Facility Name: GEORGIA STATE UNIVERSITY - ATLANTA GA

Facility Address:
141 PIEDMONT AVENUE, NE, SUITE D ATTN SUSAN WHITMER
ATLANTA, GA
ZIP 30303
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Facility Phone Number: 404 413-1930

Facility Type: School/Student Health Service

Certificate Type: Microscopy
NPI Number: 1477990695

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name Field Value
CLIA Number 11D0687187
LAB Type School/Student Health Service
Facility Name GEORGIA STATE UNIVERSITY - ATLANTA GA
Street 141 PIEDMONT AVENUE, NE, SUITE D ATTN SUSAN WHITMER
City ATLANTA
State GA
ZIP 30303
Phone 404 413-1930
CertificateType 3
CertificateEffectiveDate 4/25/2024
CertificateExpirationDate 4/24/2026
FacilityType PPMP

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