11D1019881 CLIA NUMBER - ALPHARETTA CARDIOLOGY LLC

Laboratory Demographics

  • CLIA Code: 11D1019881
  • Facility Name: ALPHARETTA CARDIOLOGY LLC
  • Facility Address: 5755 NORTH POINT PARKWAY, SUITE 270
    ALPHARETTA, GA
    ZIP 30022
  • Facility Phone: 678 762-0910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARLENE BLAISE
  • NPI Number: 1801284518
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1019881
LAB Type Physician Office
Facility Name ALPHARETTA CARDIOLOGY LLC
Street 5755 NORTH POINT PARKWAY, SUITE 270
City ALPHARETTA
State GA
ZIP 30022
Phone 678 762-0910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director DR. MARLENE BLAISE

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