11D0965221 CLIA NUMBER - METRO MEDICAL ASSOSCIATES, LLC

Laboratory Demographics

  • CLIA Code: 11D0965221
  • Facility Name: METRO MEDICAL ASSOSCIATES, LLC
  • Facility Address: 11379 SOUTHBRIDGE PKWY SUITE A
    ALPHARETTA, GA
    ZIP 30022
  • Facility Phone: (770) 777-0750
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SWETHA ADDAGATLA
  • NPI Number: 1043526114
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0965221
LAB Type Physician Office
Facility Name METRO MEDICAL ASSOSCIATES, LLC
Street 11379 SOUTHBRIDGE PKWY SUITE A
City ALPHARETTA
State GA
ZIP 30022
Phone 7707770750
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 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Physician Office
Lab Director SWETHA ADDAGATLA

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This page was last updated on: 5/18/2026