11D2027889 CLIA NUMBER - CPMSC GWINNETT, LLC

Laboratory Demographics

  • CLIA Code: 11D2027889
  • Facility Name: CPMSC GWINNETT, LLC
  • Facility Address: 4799 SUGAR LOAF PARKWAY, BUILDING G, STE 110
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: 770 929-9033
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PREETESH PATEL
  • NPI Number: 1144516451
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2027889
LAB Type Ambulatory Surgery Center
Facility Name CPMSC GWINNETT, LLC
Street 4799 SUGAR LOAF PARKWAY, BUILDING G, STE 110
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 770 929-9033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. PREETESH PATEL

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