11D0891634 CLIA NUMBER - CHEROKEE WOMEN'S HEALTH SPECIALIST PC

Laboratory Demographics

  • CLIA Code: 11D0891634
  • Facility Name: CHEROKEE WOMEN'S HEALTH SPECIALIST PC
  • Facility Address: 227 RIVERSTONE DRIVE
    CANTON, GA
    ZIP 30114
  • Facility Phone: 770 720-7733
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL LITREL MD
  • NPI Number: 1720115389
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0891634
LAB Type Physician Office
Facility Name CHEROKEE WOMEN'S HEALTH SPECIALIST PC
Street 227 RIVERSTONE DRIVE
City CANTON
State GA
ZIP 30114
Phone 770 720-7733
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 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director MICHAEL LITREL MD

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This page was last updated on: 6/4/2025