11D2180410 CLIA NUMBER - NORTHWEST ENT ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D2180410
  • Facility Name: NORTHWEST ENT ASSOCIATES PC
  • Facility Address: 13 REINHARDT COLLEGE PARKWAY
    CANTON, GA
    ZIP 30114
  • Facility Phone: 770 427-0368
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DREW M. LOCANDO
  • NPI Number: 1982978466
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2180410
LAB Type Physician Office
Facility Name NORTHWEST ENT ASSOCIATES PC
Street 13 REINHARDT COLLEGE PARKWAY
City CANTON
State GA
ZIP 30114
Phone 770 427-0368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director DREW M. LOCANDO

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