11D0948359 CLIA NUMBER - ATLANTA HEART ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D0948359
  • Facility Name: ATLANTA HEART ASSOCIATES PC
  • Facility Address: 483 UPPER RIVERDALE RD STE C
    RIVERDALE, GA
    ZIP 30274
  • Facility Phone: 770 907-9009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOPAL C. RAO
  • NPI Number: 1851327241
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0948359
LAB Type Physician Office
Facility Name ATLANTA HEART ASSOCIATES PC
Street 483 UPPER RIVERDALE RD STE C
City RIVERDALE
State GA
ZIP 30274
Phone 770 907-9009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director GOPAL C. RAO

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