11D0960699 CLIA NUMBER - OB/GYN ASSOCIATES PA TOWNE LAKE

Laboratory Demographics

CLIA Number: 11D0960699

Facility Name: OB/GYN ASSOCIATES PA TOWNE LAKE

Facility Address:
100 STONE FOREST DRIVE, SUITE 150
WOODSTOCK, GA
ZIP 30189
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Facility Phone Number: 770 422-8700

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1043260425

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	11D0960699
LAB Type	Physician Office
Facility Name	OB/GYN ASSOCIATES PA TOWNE LAKE
Street	100 STONE FOREST DRIVE, SUITE 150
City	WOODSTOCK
State	GA
ZIP	30189
Phone	770 422-8700
CertificateType	3
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	PPMP

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