11D2329967 CLIA NUMBER - OB-GYN ASSOCIATES OF MARIETTA, LLC

Laboratory Demographics

  • CLIA Code: 11D2329967
  • Facility Name: OB-GYN ASSOCIATES OF MARIETTA, LLC
  • Facility Address: 100 STONEFOREST DIVE, SUITE 215
    WOODSTOCK, GA
    ZIP 30189
  • Facility Phone: 770 422-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY HUFFMAN
  • NPI Number: 1043260425
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2329967
LAB Type Physician Office
Facility Name OB-GYN ASSOCIATES OF MARIETTA, LLC
Street 100 STONEFOREST DIVE, SUITE 215
City WOODSTOCK
State GA
ZIP 30189
Phone 770 422-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director KIMBERLY HUFFMAN

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