11D0896698 CLIA NUMBER - SHINTE LIU MD PC

Laboratory Demographics

  • CLIA Code: 11D0896698
  • Facility Name: SHINTE LIU MD PC
  • Facility Address: 5150 BUFORD HIGHWAY SUITE C200
    DORAVILLE, GA
    ZIP 30340
  • Facility Phone: 770 454-9199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHINTE LIU
  • NPI Number: 1932166717
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0896698
LAB Type Physician Office
Facility Name SHINTE LIU MD PC
Street 5150 BUFORD HIGHWAY SUITE C200
City DORAVILLE
State GA
ZIP 30340
Phone 770 454-9199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director SHINTE LIU

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