11D2250345 CLIA NUMBER - NORTHSIDE HOSPITAL ATLANTA EMPLOYEE HEALTH OFFICE

Laboratory Demographics

  • CLIA Code: 11D2250345
  • Facility Name: NORTHSIDE HOSPITAL ATLANTA EMPLOYEE HEALTH OFFICE
  • Facility Address: 1000 JOHNSON FERRY ROAD NW
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 851-8387
  • Facility Type: Other - EMPLOYEE HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: PETER KAPLAN
  • NPI Number: 1356630990
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2250345
LAB Type Other - EMPLOYEE HEALTH CLINIC
Facility Name NORTHSIDE HOSPITAL ATLANTA EMPLOYEE HEALTH OFFICE
Street 1000 JOHNSON FERRY ROAD NW
City ATLANTA
State GA
ZIP 30342
Phone 404 851-8387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Other - EMPLOYEE HEALTH CLINIC
Lab Director PETER KAPLAN

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