11D2258668 CLIA NUMBER - ADVANCED MEDICAL AND WEIGHT LOSS CENTER

Laboratory Demographics

  • CLIA Code: 11D2258668
  • Facility Name: ADVANCED MEDICAL AND WEIGHT LOSS CENTER
  • Facility Address: 5575 NORTH POINT PARKWAY SUITE 32
    ALPHARETTA, GA
    ZIP 30022
  • Facility Phone: 770 467-3975
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICK SIDHU
  • NPI Number: 1043967268
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2258668
LAB Type Physician Office
Facility Name ADVANCED MEDICAL AND WEIGHT LOSS CENTER
Street 5575 NORTH POINT PARKWAY SUITE 32
City ALPHARETTA
State GA
ZIP 30022
Phone 770 467-3975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director NICK SIDHU

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