11D0687187 CLIA NUMBER - GEORGIA STATE UNIVERSITY UNIVERSITY HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 11D0687187
  • Facility Name: GEORGIA STATE UNIVERSITY UNIVERSITY HEALTH CLINIC
  • Facility Address: 75 PIEDMONT AVE NE, SUITE 100
    ATLANTA, GA
    ZIP 30303
  • Facility Phone: 404 413-1930
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: WILLIAM H. SMITH
  • NPI Number: 1477990695
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0687187
LAB Type School/Student Health Service
Facility Name GEORGIA STATE UNIVERSITY UNIVERSITY HEALTH CLINIC
Street 75 PIEDMONT AVE NE, SUITE 100
City ATLANTA
State GA
ZIP 30303
Phone 404 413-1930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type School/Student Health Service
Lab Director WILLIAM H. SMITH

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