11D0699165 CLIA NUMBER - DR B ABRAHAM PC

Laboratory Demographics

  • CLIA Code: 11D0699165
  • Facility Name: DR B ABRAHAM PC
  • Facility Address: 3020 HIGHWAY 124
    SNELLVILLE, GA
    ZIP 30039
  • Facility Phone: (770) 978-1331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN ABRAHAM
  • NPI Number: 1104826775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0699165
LAB Type Physician Office
Facility Name DR B ABRAHAM PC
Street 3020 HIGHWAY 124
City SNELLVILLE
State GA
ZIP 30039
Phone 7709781331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BENJAMIN ABRAHAM

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This page was last updated on: 5/18/2026