11D2178125 CLIA NUMBER - ARCD AND WEIGHTLOSS MANAGEMENT

Laboratory Demographics

CLIA Number: 11D2178125

Facility Name: ARCD AND WEIGHTLOSS MANAGEMENT

Facility Address:
265 18TH STREET, NW, UNIT #2328
ATLANTA, GA
ZIP 30363
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Facility Phone Number: 404 693-6737

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194363382

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	11D2178125
LAB Type	Physician Office
Facility Name	ARCD AND WEIGHTLOSS MANAGEMENT
Street	265 18TH STREET, NW, UNIT #2328
City	ATLANTA
State	GA
ZIP	30363
Phone	404 693-6737
CertificateType	4
CertificateEffectiveDate	1/28/2024
CertificateExpirationDate	1/27/2026
FacilityType	Waiver

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