11D1036459 CLIA NUMBER - PREMIER MEDICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D1036459
  • Facility Name: PREMIER MEDICAL ASSOCIATES PC
  • Facility Address: 407 EAST MAPLE STREET SUITE 101
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 888-6697
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE C. HAMILTON
  • NPI Number: 1376600825
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1036459
LAB Type Physician Office
Facility Name PREMIER MEDICAL ASSOCIATES PC
Street 407 EAST MAPLE STREET SUITE 101
City CUMMING
State GA
ZIP 30040
Phone 770 888-6697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director ANNETTE C. HAMILTON

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