11D0724381 CLIA NUMBER - ATLANTA WEST DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 11D0724381
  • Facility Name: ATLANTA WEST DERMATOLOGY PC
  • Facility Address: 1550 MULKEY ROAD
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 770 732-1137
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JANICE M. WARNER MD
  • NPI Number: 1174680979
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D0724381
LAB Type Physician Office
Facility Name ATLANTA WEST DERMATOLOGY PC
Street 1550 MULKEY ROAD
City AUSTELL
State GA
ZIP 30106
Phone 770 732-1137
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director JANICE M. WARNER MD

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