11D2017946 CLIA NUMBER - NATIONAL HEALTHCARE CENTER

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Laboratory Demographics

CLIA Number: 11D2017946

Facility Name: NATIONAL HEALTHCARE CENTER

Facility Address:
2088 IDLEWOOD ROAD, SUITE 6
TUCKER, GA
ZIP 30084
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Facility Phone Number: 678 664-9655

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1174971360

Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	11D2017946
LAB Type	Independent
Facility Name	NATIONAL HEALTHCARE CENTER
Street	2088 IDLEWOOD ROAD, SUITE 6
City	TUCKER
State	GA
ZIP	30084
Phone	678 664-9655
CertificateType	2
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Compliance

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