11D1069063 CLIA NUMBER - NORTHSIDE HOSPITAL, INC - GCS/ATHENS

Laboratory Demographics

  • CLIA Code: 11D1069063
  • Facility Name: NORTHSIDE HOSPITAL, INC - GCS/ATHENS
  • Facility Address: 125 KING AVENUE, SUITE 200
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 369-4478
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ALI SAYED
  • NPI Number: 1669829214
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 11D1069063
LAB Type Physician Office
Facility Name NORTHSIDE HOSPITAL, INC - GCS/ATHENS
Street 125 KING AVENUE, SUITE 200
City ATHENS
State GA
ZIP 30606
Phone 706 369-4478
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director ALI SAYED

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