11D2008333 CLIA NUMBER - AGA, LLC

Laboratory Demographics

  • CLIA Code: 11D2008333
  • Facility Name: AGA, LLC
  • Facility Address: 3855 PLEASANT HILL ROAD, SUITE 360
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 678 745-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD M. PHAM
  • NPI Number: 1053077792
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 11D2008333
LAB Type Physician Office
Facility Name AGA, LLC
Street 3855 PLEASANT HILL ROAD, SUITE 360
City DULUTH
State GA
ZIP 30096
Phone 678 745-3030
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 DONALD M. PHAM

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