11D2146264 CLIA NUMBER - GEORGIA UROLOGY FORSYTH

Laboratory Demographics

  • CLIA Code: 11D2146264
  • Facility Name: GEORGIA UROLOGY FORSYTH
  • Facility Address: 4151 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 140
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 404 252-5206
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL GARCIA-RIOG
  • NPI Number: 1821019076
  • Taxonomy: 2088P0231X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2146264
LAB Type Physician Office
Facility Name GEORGIA UROLOGY FORSYTH
Street 4151 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 140
City CUMMING
State GA
ZIP 30040
Phone 404 252-5206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director MICHAEL GARCIA-RIOG

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