11D0663784 CLIA NUMBER - KENNY R SINERVO, MD, LLC

Laboratory Demographics

  • CLIA Code: 11D0663784
  • Facility Name: KENNY R SINERVO, MD, LLC
  • Facility Address: 6105 PEACHTREE DUNWOODY ROAD, BUILDING B, STE 230
    ATLANTA, GA
    ZIP 30328
  • Facility Phone: 770 913-0001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNY R. SINERVO
  • NPI Number: 1508936964
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0663784
LAB Type Physician Office
Facility Name KENNY R SINERVO, MD, LLC
Street 6105 PEACHTREE DUNWOODY ROAD, BUILDING B, STE 230
City ATLANTA
State GA
ZIP 30328
Phone 770 913-0001
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director KENNY R. SINERVO

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