11D2072890 CLIA NUMBER - NT CARDIOVASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 11D2072890
  • Facility Name: NT CARDIOVASCULAR CENTER
  • Facility Address: 1112 PLAZA AVENUE
    EASTMAN, GA
    ZIP 31023
  • Facility Phone: 478 224-1976
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NASSER S. TEHRANI
  • NPI Number: 1437399276
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2072890
LAB Type Practitioner Other
Facility Name NT CARDIOVASCULAR CENTER
Street 1112 PLAZA AVENUE
City EASTMAN
State GA
ZIP 31023
Phone 478 224-1976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Practitioner Other
Lab Director NASSER S. TEHRANI

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