11D2102005 CLIA NUMBER - FAMILY WORKS INC

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Laboratory Demographics

CLIA Number: 11D2102005

Facility Name: FAMILY WORKS INC

Facility Address:
5755 NORTHPOINT PARKWAY
ALPHARETTA, GA
ZIP 30022
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Facility Phone Number: 678 691-2947

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1134395551

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2102005
LAB Type	Community Clinic
Facility Name	FAMILY WORKS INC
Street	5755 NORTHPOINT PARKWAY
City	ALPHARETTA
State	GA
ZIP	30022
Phone	678 691-2947
CertificateType	4
CertificateEffectiveDate	9/15/2023
CertificateExpirationDate	9/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024