11D0962280 CLIA NUMBER - BUFORD-NORCROSS PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 11D0962280
  • Facility Name: BUFORD-NORCROSS PRIMARY CARE PC
  • Facility Address: 777 WEST PEACHTREE STREET
    NORCROSS, GA
    ZIP 30071
  • Facility Phone: 770 246-6100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTINE L. BAO
  • NPI Number: 1386811149
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0962280
LAB Type Physician Office
Facility Name BUFORD-NORCROSS PRIMARY CARE PC
Street 777 WEST PEACHTREE STREET
City NORCROSS
State GA
ZIP 30071
Phone 770 246-6100
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 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director CHRISTINE L. BAO

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