11D2094794 CLIA NUMBER - GYN CARE ATLANTIC STATION

Laboratory Demographics

  • CLIA Code: 11D2094794
  • Facility Name: GYN CARE ATLANTIC STATION
  • Facility Address: 264 19TH STREET, NW, SUITE 2230
    ATLANTA, GA
    ZIP 30363
  • Facility Phone: (770) 434-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC L. BROWN
  • NPI Number: 1538444005
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2094794
LAB Type Physician Office
Facility Name GYN CARE ATLANTIC STATION
Street 264 19TH STREET, NW, SUITE 2230
City ATLANTA
State GA
ZIP 30363
Phone 7704343800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director ERIC L. BROWN

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This page was last updated on: 5/18/2026