11D1035849 CLIA NUMBER - BRIDGEMILL NEUROLOGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D1035849
  • Facility Name: BRIDGEMILL NEUROLOGICAL ASSOCIATES
  • Facility Address: 980 WOODSTOCK PARKWAY, SUITE 300
    WOODSTOCK, GA
    ZIP 30188
  • Facility Phone: 678 494-9545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE RIEMANN
  • NPI Number: 1326269564
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D1035849
LAB Type Physician Office
Facility Name BRIDGEMILL NEUROLOGICAL ASSOCIATES
Street 980 WOODSTOCK PARKWAY, SUITE 300
City WOODSTOCK
State GA
ZIP 30188
Phone 678 494-9545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director STEPHANIE RIEMANN

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