11D1039023 CLIA NUMBER - PRECIOUS L BRASWELL MD OB GYN LLC

Laboratory Demographics

CLIA Number: 11D1039023

Facility Name: PRECIOUS L BRASWELL MD OB GYN LLC

Facility Address:
2885 HEADLAND DRIVE
EAST POINT, GA
ZIP 30344
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Facility Phone Number: 404 349-5600

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1639255045

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	11D1039023
LAB Type	Physician Office
Facility Name	PRECIOUS L BRASWELL MD OB GYN LLC
Street	2885 HEADLAND DRIVE
City	EAST POINT
State	GA
ZIP	30344
Phone	404 349-5600
CertificateType	3
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	PPMP

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