11D2084886 CLIA NUMBER - ALPHA OBGYN

Laboratory Demographics

  • CLIA Code: 11D2084886
  • Facility Name: ALPHA OBGYN
  • Facility Address: 2905 JORDAN COURT SUITE G
    ALPHARETTA, GA
    ZIP 30004
  • Facility Phone: 678 335-9223
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SOWMYA REDDY
  • NPI Number: 1235533001
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2084886
LAB Type Physician Office
Facility Name ALPHA OBGYN
Street 2905 JORDAN COURT SUITE G
City ALPHARETTA
State GA
ZIP 30004
Phone 678 335-9223
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director SOWMYA REDDY

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