11D1083380 CLIA NUMBER - ATLANTA FAMILY PHYSICIANS PC

Laboratory Demographics

  • CLIA Code: 11D1083380
  • Facility Name: ATLANTA FAMILY PHYSICIANS PC
  • Facility Address: 3424 FLAT SHOALS ROAD
    DECATUR, GA
    ZIP 30034
  • Facility Phone: 404 968-8269
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. AHMAD K. JINGO
  • NPI Number: 1194914135
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1083380
LAB Type Physician Office
Facility Name ATLANTA FAMILY PHYSICIANS PC
Street 3424 FLAT SHOALS ROAD
City DECATUR
State GA
ZIP 30034
Phone 404 968-8269
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 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director DR. AHMAD K. JINGO

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