11D2159859 CLIA NUMBER - GEORGIA VASCULAR SPECIALISTS, PC

Laboratory Demographics

  • CLIA Code: 11D2159859
  • Facility Name: GEORGIA VASCULAR SPECIALISTS, PC
  • Facility Address: 1718 PEACHTREE STREET, NW, SUITE 360
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 404 350-9505
  • Facility Type: Other - (OIC) O/P INTERVENTIONAL
  • Facility Type: Waiver
  • Lab Director: JAMES M. POINDEXTER JR
  • NPI Number: 1558420778
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2159859
LAB Type Other - (OIC) O/P INTERVENTIONAL
Facility Name GEORGIA VASCULAR SPECIALISTS, PC
Street 1718 PEACHTREE STREET, NW, SUITE 360
City ATLANTA
State GA
ZIP 30309
Phone 404 350-9505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Other - (OIC) O/P INTERVENTIONAL
Lab Director JAMES M. POINDEXTER JR

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