11D0896246 CLIA NUMBER - NORTHSIDE HOSPITAL/ ATLANTA CANCER CARE STOCKBRIDGE

Laboratory Demographics

  • CLIA Code: 11D0896246
  • Facility Name: NORTHSIDE HOSPITAL/ ATLANTA CANCER CARE STOCKBRIDGE
  • Facility Address: 1050 EAGLES LANDING PARKWAY SUITE 302
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: (770) 507-0070
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: LIJO SIMPSON

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CLIA Record

Field Name Field Value
CLIA Number 11D0896246
LAB Type Physician Office
Facility Name NORTHSIDE HOSPITAL/ ATLANTA CANCER CARE STOCKBRIDGE
Street 1050 EAGLES LANDING PARKWAY SUITE 302
City STOCKBRIDGE
State GA
ZIP 30281
Phone 7705070070
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director LIJO SIMPSON

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This page was last updated on: 5/18/2026