11D2102288 CLIA NUMBER - EASTSIDE MEDICAL CENTER, SOUTH CAMPUS

Laboratory Demographics

  • CLIA Code: 11D2102288
  • Facility Name: EASTSIDE MEDICAL CENTER, SOUTH CAMPUS
  • Facility Address: 2160 FOUNTAIN DR
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 770 736-2560
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SHANNON O'BRIEN
  • NPI Number: 1215132527
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2102288
LAB Type Hospital
Facility Name EASTSIDE MEDICAL CENTER, SOUTH CAMPUS
Street 2160 FOUNTAIN DR
City SNELLVILLE
State GA
ZIP 30078
Phone 770 736-2560
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Hospital
Lab Director DR. SHANNON O'BRIEN

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