11D2188251 CLIA NUMBER - AICA ORTHOPEDICS, PC

Laboratory Demographics

CLIA Number: 11D2188251

Facility Name: AICA ORTHOPEDICS, PC

Facility Address:
2045 PEACHTREE STREET, SUITE 700
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 404 795-5980

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1841708682

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	11D2188251
LAB Type	Physician Office
Facility Name	AICA ORTHOPEDICS, PC
Street	2045 PEACHTREE STREET, SUITE 700
City	ATLANTA
State	GA
ZIP	30309
Phone	404 795-5980
CertificateType	4
CertificateEffectiveDate	7/15/2022
CertificateExpirationDate	7/14/2024
FacilityType	Waiver

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