11D0943943 CLIA NUMBER - ALPHA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 11D0943943
  • Facility Name: ALPHA MEDICAL CLINIC
  • Facility Address: 401 SOUTH MAIN ST SUITE A-4
    ALPHARETTA, GA
    ZIP 30009
  • Facility Phone: 770 772-4044
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DHIRAJ A. PATEL MD
  • NPI Number: 1659556157
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0943943
LAB Type Physician Office
Facility Name ALPHA MEDICAL CLINIC
Street 401 SOUTH MAIN ST SUITE A-4
City ALPHARETTA
State GA
ZIP 30009
Phone 770 772-4044
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 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director DHIRAJ A. PATEL MD

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