11D0912927 CLIA NUMBER - MATERNAL FETAL SPECIALIST

Laboratory Demographics

  • CLIA Code: 11D0912927
  • Facility Name: MATERNAL FETAL SPECIALIST
  • Facility Address: 500 MEDICAL CENTER BLVD, STE 210
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 770 822-3344
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TERRY FENG
  • NPI Number: 1689711558
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0912927
LAB Type Physician Office
Facility Name MATERNAL FETAL SPECIALIST
Street 500 MEDICAL CENTER BLVD, STE 210
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 770 822-3344
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 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director TERRY FENG

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