11D1042613 CLIA NUMBER - JK INTERNAL MEDICINE AND GERIATRICS PC

Laboratory Demographics

  • CLIA Code: 11D1042613
  • Facility Name: JK INTERNAL MEDICINE AND GERIATRICS PC
  • Facility Address: 1325 SATELLITE BOULEVARD BUILDING 700 SUITE 701
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 678 417-1255
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JINAHN KIM MD
  • NPI Number: 1649460437
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1042613
LAB Type Community Clinic
Facility Name JK INTERNAL MEDICINE AND GERIATRICS PC
Street 1325 SATELLITE BOULEVARD BUILDING 700 SUITE 701
City SUWANEE
State GA
ZIP 30024
Phone 678 417-1255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Community Clinic
Lab Director JINAHN KIM MD

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