11D0896372 CLIA NUMBER - GEORGIA CLINIC (MEDICAL LABORATORY)

Laboratory Demographics

  • CLIA Code: 11D0896372
  • Facility Name: GEORGIA CLINIC (MEDICAL LABORATORY)
  • Facility Address: 6330 PRIMROSE HILL COURT SUITE 208
    NORCROSS, GA
    ZIP 30092
  • Facility Phone: 770 903-0120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NARESH PARIKH
  • NPI Number: 1609816123
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0896372
LAB Type Physician Office
Facility Name GEORGIA CLINIC (MEDICAL LABORATORY)
Street 6330 PRIMROSE HILL COURT SUITE 208
City NORCROSS
State GA
ZIP 30092
Phone 770 903-0120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director DR. NARESH PARIKH

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