11D0932784 CLIA NUMBER - NORTHSIDE HOSPITAL INC - GCS/ANNEX

Laboratory Demographics

CLIA Number: 11D0932784

Facility Name: NORTHSIDE HOSPITAL INC - GCS/ANNEX

Facility Address:
1835 SAVOY DRIVE
ATLANTA, GA
ZIP 30341
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Facility Phone Number: 770 496-9400

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1922131770

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0932784
LAB Type	Physician Office
Facility Name	NORTHSIDE HOSPITAL INC - GCS/ANNEX
Street	1835 SAVOY DRIVE
City	ATLANTA
State	GA
ZIP	30341
Phone	770 496-9400
CertificateType	1
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Accreditation

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