11D2247533 CLIA NUMBER - C & C MEDICAL CONSULTANTS, PC

Laboratory Demographics

CLIA Number: 11D2247533

Facility Name: C & C MEDICAL CONSULTANTS, PC

Facility Address:
1800 PEACHTREE ROAD, NE, SUITE 500
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 404 423-8132

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1659612661

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	11D2247533
LAB Type	Physician Office
Facility Name	C & C MEDICAL CONSULTANTS, PC
Street	1800 PEACHTREE ROAD, NE, SUITE 500
City	ATLANTA
State	GA
ZIP	30309
Phone	404 423-8132
CertificateType	3
CertificateEffectiveDate	1/7/2024
CertificateExpirationDate	1/6/2026
FacilityType	PPMP

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