11D1098193 CLIA NUMBER - OUR HOUSE HEALTH

Laboratory Demographics

CLIA Number: 11D1098193

Facility Name: OUR HOUSE HEALTH

Facility Address:
173 BOULEVARD NE
ATLANTA, GA
ZIP 30312
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Facility Phone Number: 404 658-1500

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1225442783

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	11D1098193
LAB Type	Community Clinic
Facility Name	OUR HOUSE HEALTH
Street	173 BOULEVARD NE
City	ATLANTA
State	GA
ZIP	30312
Phone	404 658-1500
CertificateType	3
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	PPMP

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