11D0867365 CLIA NUMBER - ATLANTA WOMENS HEALTH GROUP PC

Laboratory Demographics

CLIA Number: 11D0867365

Facility Name: ATLANTA WOMENS HEALTH GROUP PC

Facility Address:
5780 PEACHTREE DUNWOODY ROAD, SUITE 320
ATLANTA, GA
ZIP 30342
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Facility Phone Number: 404 256-2943

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1427003599

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0867365
LAB Type	Physician Office
Facility Name	ATLANTA WOMENS HEALTH GROUP PC
Street	5780 PEACHTREE DUNWOODY ROAD, SUITE 320
City	ATLANTA
State	GA
ZIP	30342
Phone	404 256-2943
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