11D2134102 CLIA NUMBER - PIEDMONT QUICKCARE AT WALGREENS OF SMYRNA

Laboratory Demographics

CLIA Number: 11D2134102

Facility Name: PIEDMONT QUICKCARE AT WALGREENS OF SMYRNA

Facility Address:
2670 COBB PARKWAY, SE
SMYRNA, GA
ZIP 30080
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Facility Phone Number: 678 732-1528

Facility Type: Other - URGENT CARE RETAIL

Certificate Type: Waiver

NPI Number: 1285929018

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D2134102
LAB Type	Other - URGENT CARE RETAIL
Facility Name	PIEDMONT QUICKCARE AT WALGREENS OF SMYRNA
Street	2670 COBB PARKWAY, SE
City	SMYRNA
State	GA
ZIP	30080
Phone	678 732-1528
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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