11D0871544 CLIA NUMBER - COBB PHYSICIAN GROUP PC

Laboratory Demographics

  • CLIA Code: 11D0871544
  • Facility Name: COBB PHYSICIAN GROUP PC
  • Facility Address: 4444 AUSTELL RD, SUITE 100
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: (770) 948-8031
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE M. FIGUEROA
  • NPI Number: 1417095381
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0871544
LAB Type Physician Office
Facility Name COBB PHYSICIAN GROUP PC
Street 4444 AUSTELL RD, SUITE 100
City AUSTELL
State GA
ZIP 30106
Phone 7709488031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director JOSE M. FIGUEROA

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This page was last updated on: 5/18/2026