11D2161222 CLIA NUMBER - PEACHTREE WOMEN'S CLINIC

Laboratory Demographics

  • CLIA Code: 11D2161222
  • Facility Name: PEACHTREE WOMEN'S CLINIC
  • Facility Address: 1110 W PEACHTREE STREET, SUITE 810
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 404 303-1224
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HILTON K. HOWARD
  • NPI Number: 1013296078
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 11D2161222
LAB Type Physician Office
Facility Name PEACHTREE WOMEN'S CLINIC
Street 1110 W PEACHTREE STREET, SUITE 810
City ATLANTA
State GA
ZIP 30309
Phone 404 303-1224
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director HILTON K. HOWARD

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