11D1042313 CLIA NUMBER - BUFORD- NORCROSS PRIMARY CARE, PC

Laboratory Demographics

  • CLIA Code: 11D1042313
  • Facility Name: BUFORD- NORCROSS PRIMARY CARE, PC
  • Facility Address: 4855 RIVER GREEN PARKWAY, SUITE 520
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 417-1588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN C. HE
  • NPI Number: 1821297920
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1042313
LAB Type Physician Office
Facility Name BUFORD- NORCROSS PRIMARY CARE, PC
Street 4855 RIVER GREEN PARKWAY, SUITE 520
City DULUTH
State GA
ZIP 30096
Phone 678 417-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director STEVEN C. HE

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