11D0999500 CLIA NUMBER - TAMARA BROWN MD LLC

Laboratory Demographics

  • CLIA Code: 11D0999500
  • Facility Name: TAMARA BROWN MD LLC
  • Facility Address: 5835 CAMPBELLTON ROAD, SW, SUITE 201
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 404 696-4141
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMARA Y. BROWN
  • NPI Number: 1174571715
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0999500
LAB Type Physician Office
Facility Name TAMARA BROWN MD LLC
Street 5835 CAMPBELLTON ROAD, SW, SUITE 201
City ATLANTA
State GA
ZIP 30309
Phone 404 696-4141
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 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director TAMARA Y. BROWN

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