11D1103709 CLIA NUMBER - DINESH K BHATIA MD

Laboratory Demographics

  • CLIA Code: 11D1103709
  • Facility Name: DINESH K BHATIA MD
  • Facility Address: 4586 TIMBER RIDGE DRIVE, SUITE 120
    DOUGLASVILLE, GA
    ZIP 30135
  • Facility Phone: 404 875-9636
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DINESH K. BHATIA
  • NPI Number: 1407941008
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1103709
LAB Type Physician Office
Facility Name DINESH K BHATIA MD
Street 4586 TIMBER RIDGE DRIVE, SUITE 120
City DOUGLASVILLE
State GA
ZIP 30135
Phone 404 875-9636
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 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director DR. DINESH K. BHATIA

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