CLIA Code Details

Clinical Laboratory Code : 11d2292501

PREMISE HEALTH OF GEORGIA MEDICAL, PC (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 11D2292501
Clinical laboratory number
Lab Name PREMISE HEALTH OF GEORGIA MEDICAL, PC
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type N/S (NOT SPECIFIED)
Clinical laboratory certificate type

Contacts

Phone 770-494-3423
Laboratory telephone number
Fax 770-793-4685
Fax number of the provider.

Facility Location

Street Address 86 SOUTH COBB DRIVE
Primary location adress line
City MARIETTA
Primary location city name
State GA
Primary location state name
Zip 30063
Primary location postal code

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