11D0907507 CLIA NUMBER - GYNECOLOGY ISSUES PC

Laboratory Demographics

  • CLIA Code: 11D0907507
  • Facility Name: GYNECOLOGY ISSUES PC
  • Facility Address: 880 CRESTMARK DRIVE, SUITE 100
    LITHIA SPRINGS, GA
    ZIP 30122
  • Facility Phone: 770 732-7989
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELEANOR R. GLASPY BENTON
  • NPI Number: 1326229659
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0907507
LAB Type Physician Office
Facility Name GYNECOLOGY ISSUES PC
Street 880 CRESTMARK DRIVE, SUITE 100
City LITHIA SPRINGS
State GA
ZIP 30122
Phone 770 732-7989
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 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director ELEANOR R. GLASPY BENTON

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