11D0257639 CLIA NUMBER - EMORY SPECIALTY ASSOCIATES SUGARLOAF PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D0257639
  • Facility Name: EMORY SPECIALTY ASSOCIATES SUGARLOAF PRIMARY CARE
  • Facility Address: 1845 SATELLITE BOULEVARD, SUITE 500
    DULUTH, GA
    ZIP 30097
  • Facility Phone: 404 778-5220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BISWASHREE CHAUDHURY
  • NPI Number: 1649426552
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D0257639
LAB Type Physician Office
Facility Name EMORY SPECIALTY ASSOCIATES SUGARLOAF PRIMARY CARE
Street 1845 SATELLITE BOULEVARD, SUITE 500
City DULUTH
State GA
ZIP 30097
Phone 404 778-5220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director BISWASHREE CHAUDHURY

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