Clinical Laboratory Information
Similar CLIA Codes
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CLIA Number
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11D1049517
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Clinical laboratory number
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Lab Name
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NORTHLAKE INTERNAL MEDICINE LLC
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Laboratory Name
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Lab Type
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Physician Office
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Laboratory Type
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Certificate Type
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N/S (NOT SPECIFIED)
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Clinical laboratory certificate type
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Contacts |
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Phone
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770-496-2929
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Laboratory telephone number
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Fax
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770-496-2930
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Fax number of the provider.
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Facility Location |
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Street Address
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2175 NORTHLAKE PKWY, BLDG 4, SUITE 142
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Primary location adress line
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City
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TUCKER
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Primary location city name
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State
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GA
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Primary location state name
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Zip
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30084
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Primary location postal code
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