11D1027048 CLIA NUMBER - GASTROENTEROLOGY SPECIALISTS OF GWINNETT PC

Laboratory Demographics

  • CLIA Code: 11D1027048
  • Facility Name: GASTROENTEROLOGY SPECIALISTS OF GWINNETT PC
  • Facility Address: 3855 PLEASANT HILL ROAD, SUITE 230
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 995-7988
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: D BRAD LORD
  • NPI Number: 1891737532
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1027048
LAB Type Other
Facility Name GASTROENTEROLOGY SPECIALISTS OF GWINNETT PC
Street 3855 PLEASANT HILL ROAD, SUITE 230
City DULUTH
State GA
ZIP 30096
Phone 770 995-7988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other
Lab Director D BRAD LORD

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