11D2108669 CLIA NUMBER - MILTON MEDICAL GROUP LLC

Laboratory Demographics

CLIA Number: 11D2108669

Facility Name: MILTON MEDICAL GROUP LLC

Facility Address:
735 NORTH MAIN ST, SUITE 1100
ALPHARETTA, GA
ZIP 30009
Get Directions

Facility Phone Number: 404 932-1054

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043680341

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2108669
LAB Type	Physician Office
Facility Name	MILTON MEDICAL GROUP LLC
Street	735 NORTH MAIN ST, SUITE 1100
City	ALPHARETTA
State	GA
ZIP	30009
Phone	404 932-1054
CertificateType	4
CertificateEffectiveDate	2/9/2024
CertificateExpirationDate	2/8/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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