11D0988412 CLIA NUMBER - ALPHARETTA FAMILY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 11D0988412

Facility Name: ALPHARETTA FAMILY MEDICAL CLINIC

Facility Address:
9725 SPRUILL ROAD
ALPHARETTA, GA
ZIP 30022
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Facility Phone Number: 678 867-0135

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1164020111

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	11D0988412
LAB Type	Physician Office
Facility Name	ALPHARETTA FAMILY MEDICAL CLINIC
Street	9725 SPRUILL ROAD
City	ALPHARETTA
State	GA
ZIP	30022
Phone	678 867-0135
CertificateType	3
CertificateEffectiveDate	6/27/2023
CertificateExpirationDate	6/26/2025
FacilityType	PPMP

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