11D1059989 CLIA NUMBER - SUBURBAN WOMENS SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 11D1059989
  • Facility Name: SUBURBAN WOMENS SPECIALISTS LLC
  • Facility Address: 6300 HOSPITAL PARKWAY, SUITE 200
    JOHNS CREEK, GA
    ZIP 30097
  • Facility Phone: 770 476-1088
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUIZA C. CHUA
  • NPI Number: 1215047246
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D1059989
LAB Type Physician Office
Facility Name SUBURBAN WOMENS SPECIALISTS LLC
Street 6300 HOSPITAL PARKWAY, SUITE 200
City JOHNS CREEK
State GA
ZIP 30097
Phone 770 476-1088
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director SUIZA C. CHUA

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