11D2171926 CLIA NUMBER - MEDCURA HEALTH- MIDTOWN

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Laboratory Demographics

CLIA Number: 11D2171926

Facility Name: MEDCURA HEALTH- MIDTOWN

Facility Address:
2140 PEACHTREE ROAD, NW, SUITE 232
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 404 231-4431

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1023537321

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2171926
LAB Type	Federally Qualified Health Center
Facility Name	MEDCURA HEALTH- MIDTOWN
Street	2140 PEACHTREE ROAD, NW, SUITE 232
City	ATLANTA
State	GA
ZIP	30309
Phone	404 231-4431
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

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