11D2308323 CLIA NUMBER - NORTHSIDE WOMEN'S SPECIALISTS - ALPHARETTA

Laboratory Demographics

  • CLIA Code: 11D2308323
  • Facility Name: NORTHSIDE WOMEN'S SPECIALISTS - ALPHARETTA
  • Facility Address: 3400 A OLD MILTON PKWY, STE 300
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 404 255-2057
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JILL PURDIE
  • NPI Number: 1275689309
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2308323
LAB Type Physician Office
Facility Name NORTHSIDE WOMEN'S SPECIALISTS - ALPHARETTA
Street 3400 A OLD MILTON PKWY, STE 300
City ALPHARETTA
State GA
ZIP 30005
Phone 404 255-2057
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director JILL PURDIE

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