11D2229203 CLIA NUMBER - WESTSIDE URGENT CARE LLC DBA WESTSIDE MED

Laboratory Demographics

  • CLIA Code: 11D2229203
  • Facility Name: WESTSIDE URGENT CARE LLC DBA WESTSIDE MED
  • Facility Address: 2250 MARIETTA BOULEVARD, NW SUITE 306
    ATLANTA, GA
    ZIP 30318
  • Facility Phone: (404) 692-1050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARIEL I. ESTEVES
  • NPI Number: 1407431174
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2229203
LAB Type Physician Office
Facility Name WESTSIDE URGENT CARE LLC DBA WESTSIDE MED
Street 2250 MARIETTA BOULEVARD, NW SUITE 306
City ATLANTA
State GA
ZIP 30318
Phone 4046921050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director ARIEL I. ESTEVES

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