11D0869472 CLIA NUMBER - MCDANIEL AND DURRETT PC

Laboratory Demographics

  • CLIA Code: 11D0869472
  • Facility Name: MCDANIEL AND DURRETT PC
  • Facility Address: 105 COLLIER ROAD NW SUITE 1080
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 404 352-2850
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYNLEY S. DURRETT MD
  • NPI Number: 1306978242
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0869472
LAB Type Physician Office
Facility Name MCDANIEL AND DURRETT PC
Street 105 COLLIER ROAD NW SUITE 1080
City ATLANTA
State GA
ZIP 30309
Phone 404 352-2850
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LYNLEY S. DURRETT MD

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