11D0663745 CLIA NUMBER - LABORATORY CORPORATION OF AMERICA HOLDINGS, INC

Laboratory Demographics

  • CLIA Code: 11D0663745
  • Facility Name: LABORATORY CORPORATION OF AMERICA HOLDINGS, INC
  • Facility Address: 1957 LAKESIDE PARKWAY, SUITE 542
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 678 406-7676
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOANNE H. PIRATZKY
  • NPI Number: 1588605224
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0663745
LAB Type Physician Office
Facility Name LABORATORY CORPORATION OF AMERICA HOLDINGS, INC
Street 1957 LAKESIDE PARKWAY, SUITE 542
City TUCKER
State GA
ZIP 30084
Phone 678 406-7676
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director DR. JOANNE H. PIRATZKY

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