11D2124194 CLIA NUMBER - NORTH ATLANTA WOMEN'S SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 11D2124194
  • Facility Name: NORTH ATLANTA WOMEN'S SPECIALISTS, LLC
  • Facility Address: 4800 OLDE TOWNE PARKWAY, SUITE 350
    MARIETTA, GA
    ZIP 30068
  • Facility Phone: 404 303-1224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN DONNELLY
  • NPI Number: 1558662981
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2124194
LAB Type Physician Office
Facility Name NORTH ATLANTA WOMEN'S SPECIALISTS, LLC
Street 4800 OLDE TOWNE PARKWAY, SUITE 350
City MARIETTA
State GA
ZIP 30068
Phone 404 303-1224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director JOHN DONNELLY

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