11D2008301 CLIA NUMBER - CHRISTI & CAROLINE, LLC

Laboratory Demographics

  • CLIA Code: 11D2008301
  • Facility Name: CHRISTI & CAROLINE, LLC
  • Facility Address: 5677 BUFORD HIGHWAY
    DORAVILLE, GA
    ZIP 30340
  • Facility Phone: 678 547-1045
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KWON YONG
  • NPI Number: 1285951236
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2008301
LAB Type Physician Office
Facility Name CHRISTI & CAROLINE, LLC
Street 5677 BUFORD HIGHWAY
City DORAVILLE
State GA
ZIP 30340
Phone 678 547-1045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director KWON YONG

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