11D0949734 CLIA NUMBER - ROPHE' ADULT & PEDIATRIC MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0949734
  • Facility Name: ROPHE' ADULT & PEDIATRIC MEDICINE
  • Facility Address: 4910 JONESBORO ROAD BUILDING 700 SUITE 701
    UNION CITY, GA
    ZIP 30291
  • Facility Phone: 770 964-7736
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YVONNE L. SMITH
  • NPI Number: 1831156306
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D0949734
LAB Type Physician Office
Facility Name ROPHE' ADULT & PEDIATRIC MEDICINE
Street 4910 JONESBORO ROAD BUILDING 700 SUITE 701
City UNION CITY
State GA
ZIP 30291
Phone 770 964-7736
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 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director YVONNE L. SMITH

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