11D0873605 CLIA NUMBER - DEKALB WOMEN'S SPECIALISTS, PC

Laboratory Demographics

  • CLIA Code: 11D0873605
  • Facility Name: DEKALB WOMEN'S SPECIALISTS, PC
  • Facility Address: 1458 CHURCH STREET, SUITE B ATTN SABRINA SCOTT
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 322-7035
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALBERT SCOTT
  • NPI Number: 1225085475
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0873605
LAB Type Physician Office
Facility Name DEKALB WOMEN'S SPECIALISTS, PC
Street 1458 CHURCH STREET, SUITE B ATTN SABRINA SCOTT
City DECATUR
State GA
ZIP 30030
Phone 404 322-7035
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 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director ALBERT SCOTT

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