11D0701501 CLIA NUMBER - ANNAPURNA BHAT

Laboratory Demographics

  • CLIA Code: 11D0701501
  • Facility Name: ANNAPURNA BHAT
  • Facility Address: 145 NORTHPARK TRAIL
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 389-1701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUBRAHMANYA BHAT
  • NPI Number: 1073608899
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0701501
LAB Type Physician Office
Facility Name ANNAPURNA BHAT
Street 145 NORTHPARK TRAIL
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 389-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director SUBRAHMANYA BHAT

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