11D1030050 CLIA NUMBER - NORTH CRESCENT SURGERY CENTER DBA ATLANTA WOMENS HEALTH GROUP PC

Laboratory Demographics

  • CLIA Code: 11D1030050
  • Facility Name: NORTH CRESCENT SURGERY CENTER DBA ATLANTA WOMENS HEALTH GROUP PC
  • Facility Address: 11975 MORRIS ROAD SUITE 160 ATTN JO ONEAL
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 404 303-1224
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD C. ZANE
  • NPI Number: 1275542011
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1030050
LAB Type Ambulatory Surgery Center
Facility Name NORTH CRESCENT SURGERY CENTER DBA ATLANTA WOMENS HEALTH GROUP PC
Street 11975 MORRIS ROAD SUITE 160 ATTN JO ONEAL
City ALPHARETTA
State GA
ZIP 30005
Phone 404 303-1224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD C. ZANE

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