11D2188587 CLIA NUMBER - ADVANCED WOMEN'S CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D2188587
  • Facility Name: ADVANCED WOMEN'S CARE CENTER
  • Facility Address: 290 COUNTRY CLUB DRIVE, #210
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 538-1723
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMIKA SEA
  • NPI Number: 1841814936
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2188587
LAB Type Physician Office
Facility Name ADVANCED WOMEN'S CARE CENTER
Street 290 COUNTRY CLUB DRIVE, #210
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 538-1723
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 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director TAMIKA SEA

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