11D1038372 CLIA NUMBER - SHASHIKANT A DAYA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D1038372
  • Facility Name: SHASHIKANT A DAYA FAMILY MEDICINE
  • Facility Address: 3305 BOBBY BROWN PKWY
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 806-8181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHASHIKANT A. DAYA
  • NPI Number: 1760512016
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1038372
LAB Type Physician Office
Facility Name SHASHIKANT A DAYA FAMILY MEDICINE
Street 3305 BOBBY BROWN PKWY
City EAST POINT
State GA
ZIP 30344
Phone 404 806-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director DR. SHASHIKANT A. DAYA

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