11D0678791 CLIA NUMBER - ATHANASIOS VERRAS MD PED AND ADOLESCENT

Laboratory Demographics

  • CLIA Code: 11D0678791
  • Facility Name: ATHANASIOS VERRAS MD PED AND ADOLESCENT
  • Facility Address: 2007 MONTREAL ROAD
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 770 491-1285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ATHANASIOS VERRAS
  • NPI Number: 1508824392
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0678791
LAB Type Physician Office
Facility Name ATHANASIOS VERRAS MD PED AND ADOLESCENT
Street 2007 MONTREAL ROAD
City TUCKER
State GA
ZIP 30084
Phone 770 491-1285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director ATHANASIOS VERRAS

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