11D0710009 CLIA NUMBER - SUMMIT MEDICAL ASSOCIATES PC

Laboratory Demographics

CLIA Number: 11D0710009

Facility Name: SUMMIT MEDICAL ASSOCIATES PC

Facility Address:
1874 PIEDMONT RD STE 500-E
ATLANTA, GA
ZIP 30324
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Facility Phone Number: 404 607-0042

Facility Type: Ambulatory Surgery Center

Certificate Type: Certificate of Compliance

NPI Number: 1629195979

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0710009
LAB Type	Ambulatory Surgery Center
Facility Name	SUMMIT MEDICAL ASSOCIATES PC
Street	1874 PIEDMONT RD STE 500-E
City	ATLANTA
State	GA
ZIP	30324
Phone	404 607-0042
CertificateType	2
CertificateEffectiveDate	4/22/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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