11D2118818 CLIA NUMBER - ST THERESA'S OB/GYN, INC

Laboratory Demographics

  • CLIA Code: 11D2118818
  • Facility Name: ST THERESA'S OB/GYN, INC
  • Facility Address: 2329 SCENIC HIGHWAY
    SNELLVILLE, GA
    ZIP 30078
  • Facility Phone: 470 545-5551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERTRUDE N. ANYAKWO
  • NPI Number: 1619333713
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2118818
LAB Type Physician Office
Facility Name ST THERESA'S OB/GYN, INC
Street 2329 SCENIC HIGHWAY
City SNELLVILLE
State GA
ZIP 30078
Phone 470 545-5551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director GERTRUDE N. ANYAKWO

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