11D0955022 CLIA NUMBER - GASTROENTEROLOGY SPECIALISTS OF GWINNETT, PC

Laboratory Demographics

CLIA Number: 11D0955022

Facility Name: GASTROENTEROLOGY SPECIALISTS OF GWINNETT, PC

Facility Address:
721 WELLNESS WAY, SUITE 100
LAWRENCEVILLE, GA
ZIP 30046
Get Directions

Facility Phone Number: 770 995-3113

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1700901311

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	11D0955022
LAB Type	Physician Office
Facility Name	GASTROENTEROLOGY SPECIALISTS OF GWINNETT, PC
Street	721 WELLNESS WAY, SUITE 100
City	LAWRENCEVILLE
State	GA
ZIP	30046
Phone	770 995-3113
CertificateType	2
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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