11D2107025 CLIA NUMBER - NORTHSIDE URGENT CARE - HAMILTON MILL

Laboratory Demographics

  • CLIA Code: 11D2107025
  • Facility Name: NORTHSIDE URGENT CARE - HAMILTON MILL
  • Facility Address: 2690 HAMILTON MILL RD, SUITE 100
    BUFORD, GA
    ZIP 30519
  • Facility Phone: 470 326-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANG DAO
  • NPI Number: 1114086477
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 11D2107025
LAB Type Physician Office
Facility Name NORTHSIDE URGENT CARE - HAMILTON MILL
Street 2690 HAMILTON MILL RD, SUITE 100
City BUFORD
State GA
ZIP 30519
Phone 470 326-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director SANG DAO

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