11D2187182 CLIA NUMBER - ONE MEDICAL

Laboratory Demographics

  • CLIA Code: 11D2187182
  • Facility Name: ONE MEDICAL
  • Facility Address: 22 14TH STREET, NW, SUITE B
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: (888) 663-6331
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NAILAH ABDULBAAQEE
  • NPI Number: 1144886839
  • Taxonomy: 207R00000X - Internal Medicine

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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 8886636331
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director NAILAH ABDULBAAQEE

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This page was last updated on: 5/18/2026