11D2071807 CLIA NUMBER - ASCEND MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 11D2071807
  • Facility Name: ASCEND MEDICAL GROUP
  • Facility Address: 3660 HOWELL FERRY ROAD, BUILDING B
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 888 250-5708
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL SMITH
  • NPI Number: 1063438679
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2071807
LAB Type Physician Office
Facility Name ASCEND MEDICAL GROUP
Street 3660 HOWELL FERRY ROAD, BUILDING B
City DULUTH
State GA
ZIP 30096
Phone 888 250-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director MICHAEL SMITH

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