11D1095729 CLIA NUMBER - NORTHSIDE - NORTH POINTE OBGYN

Laboratory Demographics

  • CLIA Code: 11D1095729
  • Facility Name: NORTHSIDE - NORTH POINTE OBGYN
  • Facility Address: 1800 NORTHSIDE FORSYTH DRIVE SUITE 350
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 770 886-3555
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NANCY WALSH
  • NPI Number: 1134463078
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D1095729
LAB Type Physician Office
Facility Name NORTHSIDE - NORTH POINTE OBGYN
Street 1800 NORTHSIDE FORSYTH DRIVE SUITE 350
City CUMMING
State GA
ZIP 30041
Phone 770 886-3555
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director NANCY WALSH

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