11D2280254 CLIA NUMBER - MOUNTAINS WOMENS CENTER LLC

Laboratory Demographics

  • CLIA Code: 11D2280254
  • Facility Name: MOUNTAINS WOMENS CENTER LLC
  • Facility Address: 1611 SANDS PLACE SUITE 100
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 678 944-8042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMBER GLENN
  • NPI Number: 1053012260
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2280254
LAB Type Physician Office
Facility Name MOUNTAINS WOMENS CENTER LLC
Street 1611 SANDS PLACE SUITE 100
City MARIETTA
State GA
ZIP 30067
Phone 678 944-8042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director DR. AMBER GLENN

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