11D0944326 CLIA NUMBER - WELLSTAR COBB NORTHWEST GEORGIA ONCOLOGY

Laboratory Demographics

  • CLIA Code: 11D0944326
  • Facility Name: WELLSTAR COBB NORTHWEST GEORGIA ONCOLOGY
  • Facility Address: 100 MARKET PLACE BLVD, SUITE 200
    CARTERSVILLE, GA
    ZIP 30121
  • Facility Phone: 470 267-1493
  • Facility Type: Other - HOSPITAL OUTPATIENT DEPT
  • Facility Type: Accreditation
  • Lab Director: DR. MICHELLE OJEMUYIWA
  • NPI Number: 1588059653
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0944326
LAB Type Other - HOSPITAL OUTPATIENT DEPT
Facility Name WELLSTAR COBB NORTHWEST GEORGIA ONCOLOGY
Street 100 MARKET PLACE BLVD, SUITE 200
City CARTERSVILLE
State GA
ZIP 30121
Phone 470 267-1493
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Other - HOSPITAL OUTPATIENT DEPT
Lab Director DR. MICHELLE OJEMUYIWA

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