11D1078948 CLIA NUMBER - JEFFREY E GOLDBERG MD PC

Laboratory Demographics

  • CLIA Code: 11D1078948
  • Facility Name: JEFFREY E GOLDBERG MD PC
  • Facility Address: 3925 JOHNS CREEK COURT, SUITE A
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 770 495-3820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY E. GOLDBERG
  • NPI Number: 1336229178
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 11D1078948
LAB Type Physician Office
Facility Name JEFFREY E GOLDBERG MD PC
Street 3925 JOHNS CREEK COURT, SUITE A
City SUWANEE
State GA
ZIP 30024
Phone 770 495-3820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director JEFFREY E. GOLDBERG

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This page was last updated on: 3/20/2025