11D0880929 CLIA NUMBER - WELLSTAR NORTHWEST WOMENS CARE

Laboratory Demographics

  • CLIA Code: 11D0880929
  • Facility Name: WELLSTAR NORTHWEST WOMENS CARE
  • Facility Address: 833 CAMPBELL HILL STREET NW, SUITE 400
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 528-0260
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAULA C. GREAVES
  • NPI Number: 1184920233
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0880929
LAB Type Physician Office
Facility Name WELLSTAR NORTHWEST WOMENS CARE
Street 833 CAMPBELL HILL STREET NW, SUITE 400
City MARIETTA
State GA
ZIP 30060
Phone 770 528-0260
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director PAULA C. GREAVES

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