11D0971765 CLIA NUMBER - NEPHROLOGY CONSULTANTS OF GEORGIA PC

Laboratory Demographics

CLIA Number: 11D0971765

Facility Name: NEPHROLOGY CONSULTANTS OF GEORGIA PC

Facility Address:
275 COLLIER ROAD, SUITE 290
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 404 352-3300

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1265502892

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	11D0971765
LAB Type	Physician Office
Facility Name	NEPHROLOGY CONSULTANTS OF GEORGIA PC
Street	275 COLLIER ROAD, SUITE 290
City	ATLANTA
State	GA
ZIP	30309
Phone	404 352-3300
CertificateType	3
CertificateEffectiveDate	7/12/2022
CertificateExpirationDate	7/11/2024
FacilityType	PPMP

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