11D2285453 CLIA NUMBER - APOLLO FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 11D2285453

Facility Name: APOLLO FAMILY MEDICINE

Facility Address:
3990 OLD MILTON PARKWAY, SUITE 200
ALPHARETTA, GA
ZIP 30005
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Facility Phone Number: 470 875-1560

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942901269

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	11D2285453
LAB Type	Physician Office
Facility Name	APOLLO FAMILY MEDICINE
Street	3990 OLD MILTON PARKWAY, SUITE 200
City	ALPHARETTA
State	GA
ZIP	30005
Phone	470 875-1560
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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