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11D2131392 CLIA NUMBER - CARDIOVASCULAR CLINIC OF NORTH GEORGIA, PC

Laboratory Demographics

CLIA Number: 11D2131392

Facility Name: CARDIOVASCULAR CLINIC OF NORTH GEORGIA, PC

Facility Address:
771 OLD NORCROSS ROAD, SUITE 305
LAWRENCEVILLE, GA
ZIP 30046
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Facility Phone Number: 678 430-3110

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1003140351

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 11D2131392
LAB Type Physician Office
Facility Name CARDIOVASCULAR CLINIC OF NORTH GEORGIA, PC
Street 771 OLD NORCROSS ROAD, SUITE 305
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 678 430-3110
CertificateType 4
CertificateEffectiveDate 5/30/2023
CertificateExpirationDate 5/29/2025
FacilityType Waiver

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