11D0906570 CLIA NUMBER - ROLF W MEINHOLD MD

Laboratory Demographics

CLIA Number: 11D0906570

Facility Name: ROLF W MEINHOLD MD

Facility Address:
2702 ABBEY COURT
ALPHARETTA, GA
ZIP 30004
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Facility Phone Number: 770 772-4233

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1649261686

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	11D0906570
LAB Type	Physician Office
Facility Name	ROLF W MEINHOLD MD
Street	2702 ABBEY COURT
City	ALPHARETTA
State	GA
ZIP	30004
Phone	770 772-4233
CertificateType	3
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	PPMP

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