CLIA Code Details

Clinical Laboratory Code : 11d2131838

GEORGIA UROLOGY - BRASELTON (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 11D2131838
Clinical laboratory number
Lab Name GEORGIA UROLOGY - BRASELTON
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type PPMP
Clinical laboratory certificate type

Contacts

Phone 770-963-2451
Laboratory telephone number
Fax 678-808-1038
Fax number of the provider.

Facility Location

Street Address 1223 FRIENDSHIP ROAD, BLDG 400, SUITE 100
Primary location adress line
City BRASELTON
Primary location city name
State GA
Primary location state name
Zip 30517
Primary location postal code

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