11D1104731 CLIA NUMBER - CORNERSTONE FAMILY MEDICINE, LLC

Laboratory Demographics

CLIA Number: 11D1104731

Facility Name: CORNERSTONE FAMILY MEDICINE, LLC

Facility Address:
960 SANDERSF ROAD, SUITE 800
CUMMING, GA
ZIP 30041
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Facility Phone Number: 678 455-5755

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134455181

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D1104731
LAB Type	Physician Office
Facility Name	CORNERSTONE FAMILY MEDICINE, LLC
Street	960 SANDERSF ROAD, SUITE 800
City	CUMMING
State	GA
ZIP	30041
Phone	678 455-5755
CertificateType	4
CertificateEffectiveDate	5/5/2022
CertificateExpirationDate	5/4/2024
FacilityType	Waiver

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