11D0990982 CLIA NUMBER - COMPREHENSIVE INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 11D0990982
  • Facility Name: COMPREHENSIVE INTERNAL MEDICINE PC
  • Facility Address: 3890 JOHNS CREEK PARKWAY, SUITE 120
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 770 622-9002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJU BHUSHAN MD
  • NPI Number: 1104966050
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0990982
LAB Type Physician Office
Facility Name COMPREHENSIVE INTERNAL MEDICINE PC
Street 3890 JOHNS CREEK PARKWAY, SUITE 120
City SUWANEE
State GA
ZIP 30024
Phone 770 622-9002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director ANJU BHUSHAN MD

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