11D2163013 CLIA NUMBER - NORTH ATLANTA MEDICAL & DIGESTIVE CARE, LLC

Laboratory Demographics

CLIA Number: 11D2163013

Facility Name: NORTH ATLANTA MEDICAL & DIGESTIVE CARE, LLC

Facility Address:
3635 SAVANNAH PLACE DRIVE, SUITE 450A
DULUTH, GA
ZIP 30096
Get Directions

Facility Phone Number: 770 346-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780027284

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2163013
LAB Type	Physician Office
Facility Name	NORTH ATLANTA MEDICAL & DIGESTIVE CARE, LLC
Street	3635 SAVANNAH PLACE DRIVE, SUITE 450A
City	DULUTH
State	GA
ZIP	30096
Phone	770 346-0900
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024