11D2326255 CLIA NUMBER - GEORGIA UROLOGY ALPHARETTA

Laboratory Demographics

  • CLIA Code: 11D2326255
  • Facility Name: GEORGIA UROLOGY ALPHARETTA
  • Facility Address: 3005 ROYAL BLVD, SOUTH, SUITE 120
    ALPHARETTA, GA
    ZIP 30022
  • Facility Phone: 770 800-7917
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEWIS KRITEMAN
  • NPI Number: 1801680723
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2326255
LAB Type Physician Office
Facility Name GEORGIA UROLOGY ALPHARETTA
Street 3005 ROYAL BLVD, SOUTH, SUITE 120
City ALPHARETTA
State GA
ZIP 30022
Phone 770 800-7917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director LEWIS KRITEMAN

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