11D0913635 CLIA NUMBER - ATRIUM HEALTH FLOYD URGENT CARE SUMMERVILLE

Laboratory Demographics

CLIA Number: 11D0913635

Facility Name: ATRIUM HEALTH FLOYD URGENT CARE SUMMERVILLE

Facility Address:
11766 HIGHWAY 27 NORTH
SUMMERVILLE, GA
ZIP 30747
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Facility Phone Number: 706 857-1010

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1881144665

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 11D0913635
LAB Type Physician Office
Facility Name ATRIUM HEALTH FLOYD URGENT CARE SUMMERVILLE
Street 11766 HIGHWAY 27 NORTH
City SUMMERVILLE
State GA
ZIP 30747
Phone 706 857-1010
CertificateType 3
CertificateEffectiveDate 8/1/2023
CertificateExpirationDate 7/31/2025
FacilityType PPMP

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