11D0960967 CLIA NUMBER - NORTHERN CRESCENT ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 11D0960967
  • Facility Name: NORTHERN CRESCENT ENDOSCOPY LLC
  • Facility Address: 5671 PEACHTREE DUNWOODY ROAD, SUITE 680
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 257-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC SONENSHINE
  • NPI Number: 1548206493
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0960967
LAB Type Physician Office
Facility Name NORTHERN CRESCENT ENDOSCOPY LLC
Street 5671 PEACHTREE DUNWOODY ROAD, SUITE 680
City ATLANTA
State GA
ZIP 30342
Phone 404 257-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director MARC SONENSHINE

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