11D0968208 CLIA NUMBER - CUMMING MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D0968208
  • Facility Name: CUMMING MEDICAL CENTER
  • Facility Address: 416 PIRKLE PERRY ROAD SUITE H 400
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 205-5720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SURESH R. GUDUR
  • NPI Number: 1821326547
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0968208
LAB Type Physician Office
Facility Name CUMMING MEDICAL CENTER
Street 416 PIRKLE PERRY ROAD SUITE H 400
City CUMMING
State GA
ZIP 30040
Phone 770 205-5720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director DR. SURESH R. GUDUR

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