11D0702005 CLIA NUMBER - JAMES R FREEMAN MD

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Laboratory Demographics

CLIA Number: 11D0702005

Facility Name: JAMES R FREEMAN MD

Facility Address:
500 MEDICAL CENTER BLVD STE 300
LAWRENCEVILLE, GA
ZIP 30046
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Facility Phone Number: 770 963-1340

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1386692812

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	11D0702005
LAB Type	Physician Office
Facility Name	JAMES R FREEMAN MD
Street	500 MEDICAL CENTER BLVD STE 300
City	LAWRENCEVILLE
State	GA
ZIP	30046
Phone	770 963-1340
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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