11D1037753 CLIA NUMBER - JOHNS CREEK ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 11D1037753
  • Facility Name: JOHNS CREEK ENDOSCOPY
  • Facility Address: 4275 JOHNS CREEK PKWY, SUITE A
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 404 888-7575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA SANCHES
  • NPI Number: 1922125285
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1037753
LAB Type Physician Office
Facility Name JOHNS CREEK ENDOSCOPY
Street 4275 JOHNS CREEK PKWY, SUITE A
City SUWANEE
State GA
ZIP 30024
Phone 404 888-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director PATRICIA SANCHES

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