11D2163686 CLIA NUMBER - NORTHSIDE ARTHRITIS AND TOTAL JOINT SPECIALISTS MIDTOWN

Laboratory Demographics

  • CLIA Code: 11D2163686
  • Facility Name: NORTHSIDE ARTHRITIS AND TOTAL JOINT SPECIALISTS MIDTOWN
  • Facility Address: 1110 W PEACHTREE STREET, NW, SUITE 940
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 770 292-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY P. GARRETT
  • NPI Number: 1184394058
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2163686
LAB Type Physician Office
Facility Name NORTHSIDE ARTHRITIS AND TOTAL JOINT SPECIALISTS MIDTOWN
Street 1110 W PEACHTREE STREET, NW, SUITE 940
City ATLANTA
State GA
ZIP 30309
Phone 770 292-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director JEFFREY P. GARRETT

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