11D2294448 CLIA NUMBER - NORTHSIDE HEART FAILURE THERAPY ATLANTA

Laboratory Demographics

  • CLIA Code: 11D2294448
  • Facility Name: NORTHSIDE HEART FAILURE THERAPY ATLANTA
  • Facility Address: 993-C JOHNSON FERRY ROAD, SUITE 120
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 780-7860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NITYA CHANDRA
  • NPI Number: 1063434272
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 11D2294448
LAB Type Physician Office
Facility Name NORTHSIDE HEART FAILURE THERAPY ATLANTA
Street 993-C JOHNSON FERRY ROAD, SUITE 120
City ATLANTA
State GA
ZIP 30342
Phone 404 780-7860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director NITYA CHANDRA

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