11D2162512 CLIA NUMBER - NORTH FULTON NEUROLOGY

Laboratory Demographics

  • CLIA Code: 11D2162512
  • Facility Name: NORTH FULTON NEUROLOGY
  • Facility Address: 210 DAHLONEGA STREET
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 751-1589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNARD R. DREXINGER
  • NPI Number: 1730234238
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2162512
LAB Type Physician Office
Facility Name NORTH FULTON NEUROLOGY
Street 210 DAHLONEGA STREET
City CUMMING
State GA
ZIP 30040
Phone 770 751-1589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director BERNARD R. DREXINGER

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