11D1078951 CLIA NUMBER - BABCOCK DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 11D1078951
  • Facility Name: BABCOCK DERMATOLOGY
  • Facility Address: 4890 ROSWELL ROAD NE SUITE B 10
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 835-3052
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MELISSA BABCOCK MD
  • NPI Number: 1750565180
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1078951
LAB Type Physician Office
Facility Name BABCOCK DERMATOLOGY
Street 4890 ROSWELL ROAD NE SUITE B 10
City ATLANTA
State GA
ZIP 30342
Phone 404 835-3052
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director MELISSA BABCOCK MD

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