11D0976579 CLIA NUMBER - CHEROKEE INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 11D0976579
  • Facility Name: CHEROKEE INTERNAL MEDICINE PC
  • Facility Address: 1192 BUCKHEAD CROSSING, SUITE C
    WOODSTOCK, GA
    ZIP 30189
  • Facility Phone: 678 238-0301
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAHO AKAMATSU
  • NPI Number: 1790016624
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0976579
LAB Type Physician Office
Facility Name CHEROKEE INTERNAL MEDICINE PC
Street 1192 BUCKHEAD CROSSING, SUITE C
City WOODSTOCK
State GA
ZIP 30189
Phone 678 238-0301
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director MAHO AKAMATSU

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