11D2259264 CLIA NUMBER - SARMA INTEGRATIVE MEDICINE LLC

Laboratory Demographics

CLIA Number: 11D2259264

Facility Name: SARMA INTEGRATIVE MEDICINE LLC

Facility Address:
270 CARPENTER DRIVE SUITE 500
ATLANTA, GA
ZIP 30328
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Facility Phone Number: 404 474-1264

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447902846

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2259264
LAB Type	Physician Office
Facility Name	SARMA INTEGRATIVE MEDICINE LLC
Street	270 CARPENTER DRIVE SUITE 500
City	ATLANTA
State	GA
ZIP	30328
Phone	404 474-1264
CertificateType	4
CertificateEffectiveDate	5/4/2022
CertificateExpirationDate	5/3/2024
FacilityType	Waiver

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