11D0720769 CLIA NUMBER - METROPOLITAN ATLANTA OB GYN

Laboratory Demographics

  • CLIA Code: 11D0720769
  • Facility Name: METROPOLITAN ATLANTA OB GYN
  • Facility Address: 1991 WILLIAMSBURG DRIVE, SUITE B
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 404 534-0035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TYRONE C. MALLOY
  • NPI Number: 1356598833
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0720769
LAB Type Physician Office
Facility Name METROPOLITAN ATLANTA OB GYN
Street 1991 WILLIAMSBURG DRIVE, SUITE B
City DECATUR
State GA
ZIP 30033
Phone 404 534-0035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director TYRONE C. MALLOY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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