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

Laboratory Demographics

  • CLIA Code: 11D2131392
  • Facility Name: CARDIOVASCULAR CLINIC OF NORTH GEORGIA, PC
  • Facility Address: 771 OLD NORCROSS ROAD, SUITE 305
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 678 430-3110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALMAN ASHFAQ
  • NPI Number: 1003140351
  • Taxonomy: 363A00000X - Physician Assistant

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director SALMAN ASHFAQ

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