11D0989814 CLIA NUMBER - DAULTON E TODD JR MD PC

Laboratory Demographics

  • CLIA Code: 11D0989814
  • Facility Name: DAULTON E TODD JR MD PC
  • Facility Address: 418 PIRLKE FERRY ROAD
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 781-6373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAULTON E. TODD JR MD
  • NPI Number: 1447285770
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0989814
LAB Type Physician Office
Facility Name DAULTON E TODD JR MD PC
Street 418 PIRLKE FERRY ROAD
City CUMMING
State GA
ZIP 30040
Phone 770 781-6373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director DAULTON E. TODD JR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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