11D1064384 CLIA NUMBER - TANNER HEALTHCARE FOR WOMEN

Laboratory Demographics

CLIA Number: 11D1064384

Facility Name: TANNER HEALTHCARE FOR WOMEN

Facility Address:
690 DALLAS HIGHWAY, SUITE 301
VILLA RICA, GA
ZIP 30180
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Facility Phone Number: 770 456-3850

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1851388748

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	11D1064384
LAB Type	Physician Office
Facility Name	TANNER HEALTHCARE FOR WOMEN
Street	690 DALLAS HIGHWAY, SUITE 301
City	VILLA RICA
State	GA
ZIP	30180
Phone	770 456-3850
CertificateType	3
CertificateEffectiveDate	2/5/2023
CertificateExpirationDate	2/4/2025
FacilityType	PPMP

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