11D1035795 CLIA NUMBER - PAUL INTERNAL MEDICINE ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 11D1035795
  • Facility Name: PAUL INTERNAL MEDICINE ASSOCIATES, LLC
  • Facility Address: 4355 JOHNS CREEK PARKWAY, SUITE 500
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 770 623-0008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANJAN PAUL
  • NPI Number: 1073603353
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1035795
LAB Type Physician Office
Facility Name PAUL INTERNAL MEDICINE ASSOCIATES, LLC
Street 4355 JOHNS CREEK PARKWAY, SUITE 500
City SUWANEE
State GA
ZIP 30024
Phone 770 623-0008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director RANJAN PAUL

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