11D1023874 CLIA NUMBER - RICHARD W KING JR MD

Laboratory Demographics

  • CLIA Code: 11D1023874
  • Facility Name: RICHARD W KING JR MD
  • Facility Address: 2550 WINDY HILL ROAD, SUITE 110
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 678 303-3200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD W. KING JR
  • NPI Number: 1740259514
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D1023874
LAB Type Physician Office
Facility Name RICHARD W KING JR MD
Street 2550 WINDY HILL ROAD, SUITE 110
City MARIETTA
State GA
ZIP 30067
Phone 678 303-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director RICHARD W. KING JR

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