11D2157986 CLIA NUMBER - GI NORTH ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 11D2157986
  • Facility Name: GI NORTH ENDOSCOPY
  • Facility Address: 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 200
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 404 446-0600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SIMON COFRANCESCO
  • NPI Number: 1326555491
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2157986
LAB Type Ambulatory Surgery Center
Facility Name GI NORTH ENDOSCOPY
Street 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 200
City CUMMING
State GA
ZIP 30040
Phone 404 446-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. SIMON COFRANCESCO

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