11D2261443 CLIA NUMBER - WELLSTAR COBB NORTHWEST GA ONCOLOGY CTR VININGS

Laboratory Demographics

  • CLIA Code: 11D2261443
  • Facility Name: WELLSTAR COBB NORTHWEST GA ONCOLOGY CTR VININGS
  • Facility Address: 4441 ATLANTA ROAD, NE, SUITE 316
    SMYRNA, GA
    ZIP 30080
  • Facility Phone: 404 451-6207
  • Facility Type: Other - HOSP OUT/P DEPT
  • Facility Type: Accreditation
  • Lab Director: DR. DAVID SHEPARD
  • NPI Number: 1235658030
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2261443
LAB Type Other - HOSP OUT/P DEPT
Facility Name WELLSTAR COBB NORTHWEST GA ONCOLOGY CTR VININGS
Street 4441 ATLANTA ROAD, NE, SUITE 316
City SMYRNA
State GA
ZIP 30080
Phone 404 451-6207
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Other - HOSP OUT/P DEPT
Lab Director DR. DAVID SHEPARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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