11D2166150 CLIA NUMBER - ALPHA OMEGA OBGYN, LLC

Laboratory Demographics

CLIA Number: 11D2166150

Facility Name: ALPHA OMEGA OBGYN, LLC

Facility Address:
3400 OLD TOWN PARKWAY, BLDG C, SUITE 475
ALPHARETTA, GA
ZIP 30005
Get Directions

Facility Phone Number: 404 303-1224

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1932776424

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	11D2166150
LAB Type	Physician Office
Facility Name	ALPHA OMEGA OBGYN, LLC
Street	3400 OLD TOWN PARKWAY, BLDG C, SUITE 475
City	ALPHARETTA
State	GA
ZIP	30005
Phone	404 303-1224
CertificateType	3
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	PPMP

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