11D1032455 CLIA NUMBER - GEORGIA CENTER FOR WOMEN

Laboratory Demographics

CLIA Number: 11D1032455

Facility Name: GEORGIA CENTER FOR WOMEN

Facility Address:
315 BOULEVARD, NE, #224
ATLANTA, GA
ZIP 30312
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Facility Phone Number: 404 265-6746

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1588848485

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 11D1032455
LAB Type Physician Office
Facility Name GEORGIA CENTER FOR WOMEN
Street 315 BOULEVARD, NE, #224
City ATLANTA
State GA
ZIP 30312
Phone 404 265-6746
CertificateType 3
CertificateEffectiveDate 2/17/2023
CertificateExpirationDate 2/16/2025
FacilityType PPMP

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