11D1101907 CLIA NUMBER - COVINGTON CLINIC PC

Laboratory Demographics

  • CLIA Code: 11D1101907
  • Facility Name: COVINGTON CLINIC PC
  • Facility Address: 4480 COVINGTON HIGHWAY SUITE B
    DECATUR, GA
    ZIP 30035
  • Facility Phone: 404 288-4027
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIA FRANK
  • NPI Number: 1588892293
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1101907
LAB Type Physician Office
Facility Name COVINGTON CLINIC PC
Street 4480 COVINGTON HIGHWAY SUITE B
City DECATUR
State GA
ZIP 30035
Phone 404 288-4027
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 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director DANIA FRANK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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