11D0937089 CLIA NUMBER - MARMER MEDICAL EYE CENTER PC

Laboratory Demographics

CLIA Number: 11D0937089

Facility Name: MARMER MEDICAL EYE CENTER PC

Facility Address:
777 CLEVELAND AVE STE 102
ATLANTA, GA
ZIP 30315
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Facility Phone Number: 404 768-2020

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1457476731

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	11D0937089
LAB Type	Other
Facility Name	MARMER MEDICAL EYE CENTER PC
Street	777 CLEVELAND AVE STE 102
City	ATLANTA
State	GA
ZIP	30315
Phone	404 768-2020
CertificateType	4
CertificateEffectiveDate	12/11/2023
CertificateExpirationDate	12/10/2025
FacilityType	Waiver

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