11D1097728 CLIA NUMBER - COBB INTERNAL MEDICINE ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 11D1097728
  • Facility Name: COBB INTERNAL MEDICINE ASSOCIATES PC
  • Facility Address: 2655 DALLAS HIGHWAY SUITE 340
    MARIETTA, GA
    ZIP 30064
  • Facility Phone: 678 797-9800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SEEMA M. HISAMUDDIN MD
  • NPI Number: 1902053507
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1097728
LAB Type Physician Office
Facility Name COBB INTERNAL MEDICINE ASSOCIATES PC
Street 2655 DALLAS HIGHWAY SUITE 340
City MARIETTA
State GA
ZIP 30064
Phone 678 797-9800
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 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director SEEMA M. HISAMUDDIN MD

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