11D2215004 CLIA NUMBER - SPATIUM URGENT CARE

Laboratory Demographics

CLIA Number: 11D2215004

Facility Name: SPATIUM URGENT CARE

Facility Address:
3595 CANTON ROAD SUITES 314/316
MARIETTA, GA
ZIP 30066
Get Directions

Facility Phone Number: 443 803-3372

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1508453044

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2215004
LAB Type	Other - URGENT CARE CENTER
Facility Name	SPATIUM URGENT CARE
Street	3595 CANTON ROAD SUITES 314/316
City	MARIETTA
State	GA
ZIP	30066
Phone	443 803-3372
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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