11D2240182 CLIA NUMBER - PIEDMONT ORTHOPEDICS/ORTHOATLANTA

Laboratory Demographics

CLIA Number: 11D2240182

Facility Name: PIEDMONT ORTHOPEDICS/ORTHOATLANTA

Facility Address:
101 REGENCY PARK DRIVE, SUITE 120
MCDONOUGH, GA
ZIP 30253
Get Directions

Facility Phone Number: 678 214-6111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164910253

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	11D2240182
LAB Type	Physician Office
Facility Name	PIEDMONT ORTHOPEDICS/ORTHOATLANTA
Street	101 REGENCY PARK DRIVE, SUITE 120
City	MCDONOUGH
State	GA
ZIP	30253
Phone	678 214-6111
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
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