11D2001141 CLIA NUMBER - TIMOTHY D WATTS, MD

Laboratory Demographics

  • CLIA Code: 11D2001141
  • Facility Name: TIMOTHY D WATTS, MD
  • Facility Address: 321 W HILL STREET, SUITE 4
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 298-9951
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. WATTS
  • NPI Number: 1285739284
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2001141
LAB Type Physician Office
Facility Name TIMOTHY D WATTS, MD
Street 321 W HILL STREET, SUITE 4
City DECATUR
State GA
ZIP 30030
Phone 404 298-9951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director TIMOTHY D. WATTS

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