11D0717475 CLIA NUMBER - GRIFFIN OB/GYN CLINIC PA

Laboratory Demographics

CLIA Number: 11D0717475

Facility Name: GRIFFIN OB/GYN CLINIC PA

Facility Address:
503 SOUTH EIGHTH STREET
GRIFFIN, GA
ZIP 30224
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Facility Phone Number: 770 227-5505

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1558415919

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	11D0717475
LAB Type	Physician Office
Facility Name	GRIFFIN OB/GYN CLINIC PA
Street	503 SOUTH EIGHTH STREET
City	GRIFFIN
State	GA
ZIP	30224
Phone	770 227-5505
CertificateType	3
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	PPMP

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