11D0942966 CLIA NUMBER - NORTH FULTON OB/GYN PC

Laboratory Demographics

  • CLIA Code: 11D0942966
  • Facility Name: NORTH FULTON OB/GYN PC
  • Facility Address: 11975 MORRIS ROAD, SUITE 310 B
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 770 754-4445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA A. VINOKUR
  • NPI Number: 1326220567
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0942966
LAB Type Physician Office
Facility Name NORTH FULTON OB/GYN PC
Street 11975 MORRIS ROAD, SUITE 310 B
City ALPHARETTA
State GA
ZIP 30005
Phone 770 754-4445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director LISA A. VINOKUR

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