11D1090375 CLIA NUMBER - ROBERT DOUGLAS CLAYTON MD PC

Laboratory Demographics

  • CLIA Code: 11D1090375
  • Facility Name: ROBERT DOUGLAS CLAYTON MD PC
  • Facility Address: 4060 JOHNS CREEK PARKWAY BUILDING F
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 678 205-0525
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT D. CLAYTON
  • NPI Number: 1174788079
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1090375
LAB Type Physician Office
Facility Name ROBERT DOUGLAS CLAYTON MD PC
Street 4060 JOHNS CREEK PARKWAY BUILDING F
City SUWANEE
State GA
ZIP 30024
Phone 678 205-0525
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 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director ROBERT D. CLAYTON

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