11D1034252 CLIA NUMBER - PLEASANT HILL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D1034252
  • Facility Name: PLEASANT HILL FAMILY MEDICINE
  • Facility Address: 3610 PEACHTREE INDUSTRIAL BLVD
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 417-0332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WOUN HUI SEOK
  • NPI Number: 1821286956
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1034252
LAB Type Physician Office
Facility Name PLEASANT HILL FAMILY MEDICINE
Street 3610 PEACHTREE INDUSTRIAL BLVD
City DULUTH
State GA
ZIP 30096
Phone 678 417-0332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director WOUN HUI SEOK

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