11D1045942 CLIA NUMBER - MERINDA HERRON MD

Laboratory Demographics

CLIA Number: 11D1045942

Facility Name: MERINDA HERRON MD

Facility Address:
1 BALTIMORE PLACE, NE, SUITE 350
ATLANTA, GA
ZIP 30308
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Facility Phone Number: 404 446-1480

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528120508

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	11D1045942
LAB Type	Physician Office
Facility Name	MERINDA HERRON MD
Street	1 BALTIMORE PLACE, NE, SUITE 350
City	ATLANTA
State	GA
ZIP	30308
Phone	404 446-1480
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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