11D2121704 CLIA NUMBER - IDEAL GYNECOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 11D2121704
  • Facility Name: IDEAL GYNECOLOGY, LLC
  • Facility Address: 3200 DOWNWOOD CTR, NW, SUITE 220
    ATLANTA, GA
    ZIP 30327
  • Facility Phone: 470 312-3696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILLIAN R. SCHAPIRO
  • NPI Number: 1508222423
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2121704
LAB Type Physician Office
Facility Name IDEAL GYNECOLOGY, LLC
Street 3200 DOWNWOOD CTR, NW, SUITE 220
City ATLANTA
State GA
ZIP 30327
Phone 470 312-3696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director LILLIAN R. SCHAPIRO

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