11D0919865 CLIA NUMBER - DAVID A FIELDS MD FAMILY CARE PC

Laboratory Demographics

  • CLIA Code: 11D0919865
  • Facility Name: DAVID A FIELDS MD FAMILY CARE PC
  • Facility Address: 96 TARA COMMONS DRIVE
    LOGANVILLE, GA
    ZIP 30052
  • Facility Phone: 770 554-0399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. FIELDS
  • NPI Number: 1013094184
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0919865
LAB Type Physician Office
Facility Name DAVID A FIELDS MD FAMILY CARE PC
Street 96 TARA COMMONS DRIVE
City LOGANVILLE
State GA
ZIP 30052
Phone 770 554-0399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director DAVID A. FIELDS

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