11D2187182 CLIA NUMBER - ONE MEDICAL

Laboratory Demographics

CLIA Number: 11D2187182

Facility Name: ONE MEDICAL

Facility Address:
22 14TH STREET, NW, SUITE B
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 888 663-6331

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1548680796

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	11D2187182
LAB Type	Physician Office
Facility Name	ONE MEDICAL
Street	22 14TH STREET, NW, SUITE B
City	ATLANTA
State	GA
ZIP	30309
Phone	888 663-6331
CertificateType	3
CertificateEffectiveDate	6/26/2022
CertificateExpirationDate	6/25/2024
FacilityType	PPMP

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