11D1059989 CLIA NUMBER - SUBURBAN WOMENS SPECIALISTS LLC

Laboratory Demographics

CLIA Number: 11D1059989

Facility Name: SUBURBAN WOMENS SPECIALISTS LLC

Facility Address:
6300 HOSPITAL PARKWAY, SUITE 200
JOHNS CREEK, GA
ZIP 30097
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Facility Phone Number: 770 476-1088

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1215047246

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	11D1059989
LAB Type	Physician Office
Facility Name	SUBURBAN WOMENS SPECIALISTS LLC
Street	6300 HOSPITAL PARKWAY, SUITE 200
City	JOHNS CREEK
State	GA
ZIP	30097
Phone	770 476-1088
CertificateType	3
CertificateEffectiveDate	10/12/2022
CertificateExpirationDate	10/11/2024
FacilityType	PPMP

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