11D2078075 CLIA NUMBER - SANDY SPRINGS FAMILY MEDICINE AND URGENT CARE

Laboratory Demographics

  • CLIA Code: 11D2078075
  • Facility Name: SANDY SPRINGS FAMILY MEDICINE AND URGENT CARE
  • Facility Address: 8640 ROSWELL RD
    SANDY SPRINGS, GA
    ZIP 30350
  • Facility Phone: 770 696-2697
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEATRIS DRAGONU
  • NPI Number: 1639594757
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2078075
LAB Type Physician Office
Facility Name SANDY SPRINGS FAMILY MEDICINE AND URGENT CARE
Street 8640 ROSWELL RD
City SANDY SPRINGS
State GA
ZIP 30350
Phone 770 696-2697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director BEATRIS DRAGONU

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This page was last updated on: 3/20/2025