11D1020820 CLIA NUMBER - COMPREHENSIVE INTERNAL MEDICINE OF ALPHARETTA LLC

Laboratory Demographics

  • CLIA Code: 11D1020820
  • Facility Name: COMPREHENSIVE INTERNAL MEDICINE OF ALPHARETTA LLC
  • Facility Address: 3180 NORTH POINT PKWY STE 303
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: (678) 205-9004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE T. PEARSON
  • NPI Number: 1104966050
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1020820
LAB Type Physician Office
Facility Name COMPREHENSIVE INTERNAL MEDICINE OF ALPHARETTA LLC
Street 3180 NORTH POINT PKWY STE 303
City ALPHARETTA
State GA
ZIP 30005
Phone 6782059004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2026
Certificate Expiration Date 1/5/2028
Facility Type Physician Office
Lab Director JACQUELINE T. PEARSON

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This page was last updated on: 5/18/2026