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11D0690115 CLIA NUMBER - DERMATOLOGY ASSOCIATES OF ATLANTA

Laboratory Demographics

CLIA Number: 11D0690115

Facility Name: DERMATOLOGY ASSOCIATES OF ATLANTA

Facility Address:
5555 PEACHTREE DUNWOODY RD STE 190
ATLANTA, GA
ZIP 30342
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Facility Phone Number: 404 256-4457

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1750464392

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 11D0690115
LAB Type Physician Office
Facility Name DERMATOLOGY ASSOCIATES OF ATLANTA
Street 5555 PEACHTREE DUNWOODY RD STE 190
City ATLANTA
State GA
ZIP 30342
Phone 404 256-4457
CertificateType 2
CertificateEffectiveDate 6/8/2022
CertificateExpirationDate 6/7/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024