11D2000449 CLIA NUMBER - GEORGIA INFECTIOUS DISEASE, PC

Laboratory Demographics

  • CLIA Code: 11D2000449
  • Facility Name: GEORGIA INFECTIOUS DISEASE, PC
  • Facility Address: 5673 PEACHTREE DUNWOODY ROAD, SUTIE 600
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 256-4111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MITHCELL BLASS
  • NPI Number: 1093855801
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2000449
LAB Type Physician Office
Facility Name GEORGIA INFECTIOUS DISEASE, PC
Street 5673 PEACHTREE DUNWOODY ROAD, SUTIE 600
City ATLANTA
State GA
ZIP 30342
Phone 404 256-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director DR. MITHCELL BLASS

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