11D0256428 CLIA NUMBER - LANIER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D0256428
  • Facility Name: LANIER FAMILY PRACTICE
  • Facility Address: 1080 SNDERS RD, SUITE 100
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 770 887-2323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIBEDITA PATRO MD
  • NPI Number: 1063635613
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0256428
LAB Type Physician Office
Facility Name LANIER FAMILY PRACTICE
Street 1080 SNDERS RD, SUITE 100
City CUMMING
State GA
ZIP 30041
Phone 770 887-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director NIBEDITA PATRO MD

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