11D1107506 CLIA NUMBER - PRIMARY CARE CENTER, THE

Laboratory Demographics

  • CLIA Code: 11D1107506
  • Facility Name: PRIMARY CARE CENTER, THE
  • Facility Address: 5975 ROSWELL ROAD SUITE A 105
    SANDY SPRINGS, GA
    ZIP 30328
  • Facility Phone: 404 941-1160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARANJIT S. SHIKH
  • NPI Number: 1881084879
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 11D1107506
LAB Type Physician Office
Facility Name PRIMARY CARE CENTER, THE
Street 5975 ROSWELL ROAD SUITE A 105
City SANDY SPRINGS
State GA
ZIP 30328
Phone 404 941-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director CHARANJIT S. SHIKH

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