11D1043610 CLIA NUMBER - DCA DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 11D1043610
  • Facility Name: DCA DIAGNOSTICS LLC
  • Facility Address: 880 CRESTMARK DRIVE, SUITE 102
    LITHIA SPRINGS, GA
    ZIP 30122
  • Facility Phone: 770 226-9070
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANUJ P. MANOCHA
  • NPI Number: 1578536686
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1043610
LAB Type Ambulatory Surgery Center
Facility Name DCA DIAGNOSTICS LLC
Street 880 CRESTMARK DRIVE, SUITE 102
City LITHIA SPRINGS
State GA
ZIP 30122
Phone 770 226-9070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Ambulatory Surgery Center
Lab Director ANUJ P. MANOCHA

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