11D1002900 CLIA NUMBER - GEORGIA DERMATOPATHOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D1002900
  • Facility Name: GEORGIA DERMATOPATHOLOGY ASSOCIATES
  • Facility Address: 1610 LAVISTA RD NE, SUITE 4
    ATLANTA, GA
    ZIP 30329
  • Facility Phone: 404 371-0077
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL J. HOWARD
  • NPI Number: 1235135252
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1002900
LAB Type Independent
Facility Name GEORGIA DERMATOPATHOLOGY ASSOCIATES
Street 1610 LAVISTA RD NE, SUITE 4
City ATLANTA
State GA
ZIP 30329
Phone 404 371-0077
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Independent
Lab Director MICHAEL J. HOWARD

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