11D0996104 CLIA NUMBER - INTOWN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D0996104
  • Facility Name: INTOWN PRIMARY CARE
  • Facility Address: 2215 CHESHIRE BRIDGE ROAD, SUITE A
    ATLANTA, GA
    ZIP 30324
  • Facility Phone: 404 541-0944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT B. PARRY
  • NPI Number: 1104262294
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0996104
LAB Type Physician Office
Facility Name INTOWN PRIMARY CARE
Street 2215 CHESHIRE BRIDGE ROAD, SUITE A
City ATLANTA
State GA
ZIP 30324
Phone 404 541-0944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director SCOTT B. PARRY

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