11D2306383 CLIA NUMBER - NORTHSIDE HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2306383
  • Facility Name: NORTHSIDE HOME CARE, LLC
  • Facility Address: 59 LA RUE PL NW
    ATLANTA, GA
    ZIP 30327
  • Facility Phone: 770 652-3588
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ABIDAH CHIERA
  • NPI Number: 1962264424
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2306383
LAB Type Home Health Agency
Facility Name NORTHSIDE HOME CARE, LLC
Street 59 LA RUE PL NW
City ATLANTA
State GA
ZIP 30327
Phone 770 652-3588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Home Health Agency
Lab Director ABIDAH CHIERA

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