11D0869472 CLIA NUMBER - MCDANIEL AND DURRETT PC

Laboratory Demographics

CLIA Number: 11D0869472

Facility Name: MCDANIEL AND DURRETT PC

Facility Address:
105 COLLIER ROAD NW SUITE 1080
ATLANTA, GA
ZIP 30309
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Facility Phone Number: 404 352-2850

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1306978242

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024