11D1023543 CLIA NUMBER - DIABETES AND ENDOCRINOLOGY CENTER, INC

Laboratory Demographics

CLIA Number: 11D1023543

Facility Name: DIABETES AND ENDOCRINOLOGY CENTER, INC

Facility Address:
11820 NORTHFALL LANE, SUITE 1101
ALPHARETTA, GA
ZIP 30004
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Facility Phone Number: 770 777-1359

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558552265

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	11D1023543
LAB Type	Physician Office
Facility Name	DIABETES AND ENDOCRINOLOGY CENTER, INC
Street	11820 NORTHFALL LANE, SUITE 1101
City	ALPHARETTA
State	GA
ZIP	30004
Phone	770 777-1359
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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