11D1074240 CLIA NUMBER - WELLSTAR COBB NORTHWEST GEORGIA ONCOLOGY

Laboratory Demographics

  • CLIA Code: 11D1074240
  • Facility Name: WELLSTAR COBB NORTHWEST GEORGIA ONCOLOGY
  • Facility Address: 144 BILL CARRUTH PARKWAY SUITE 3100
    HIRAM, GA
    ZIP 30141
  • Facility Phone: 470 267-1493
  • Facility Type: Other - HOSPITAL O/P DEPT
  • Facility Type: Accreditation
  • Lab Director: DR. ARON KEFELA
  • NPI Number: 1104871201
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D1074240
LAB Type Other - HOSPITAL O/P DEPT
Facility Name WELLSTAR COBB NORTHWEST GEORGIA ONCOLOGY
Street 144 BILL CARRUTH PARKWAY SUITE 3100
City HIRAM
State GA
ZIP 30141
Phone 470 267-1493
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 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Other - HOSPITAL O/P DEPT
Lab Director DR. ARON KEFELA

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