11D2128995 CLIA NUMBER - GEORGIA REGIONAL HOSPITAL AT ATLANTA

Laboratory Demographics

CLIA Number: 11D2128995

Facility Name: GEORGIA REGIONAL HOSPITAL AT ATLANTA

Facility Address:
3073 PATHERSVILLE ROAD, BUILDING 1
DECATUR, GA
ZIP 30034
Get Directions

Facility Phone Number: 404 243-2100

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1407137250

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	11D2128995
LAB Type	Hospital
Facility Name	GEORGIA REGIONAL HOSPITAL AT ATLANTA
Street	3073 PATHERSVILLE ROAD, BUILDING 1
City	DECATUR
State	GA
ZIP	30034
Phone	404 243-2100
CertificateType	4
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
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