11D2090496 CLIA NUMBER - INTERNATIONAL WOMENS HEALTH SERVICES CIMA KANE CLINIC, THE

Laboratory Demographics

  • CLIA Code: 11D2090496
  • Facility Name: INTERNATIONAL WOMENS HEALTH SERVICES CIMA KANE CLINIC, THE
  • Facility Address: 2000 CLEARVIEW AVENUE, SUITE 111
    DORAVILLE, GA
    ZIP 30340
  • Facility Phone: 770 451-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BASSIL
  • NPI Number: 1093248015
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2090496
LAB Type Physician Office
Facility Name INTERNATIONAL WOMENS HEALTH SERVICES CIMA KANE CLINIC, THE
Street 2000 CLEARVIEW AVENUE, SUITE 111
City DORAVILLE
State GA
ZIP 30340
Phone 770 451-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director CHRISTOPHER BASSIL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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