11D2029511 CLIA NUMBER - PIEDMONT ORTHOPEDICS / ORTHOATLANTA

Laboratory Demographics

  • CLIA Code: 11D2029511
  • Facility Name: PIEDMONT ORTHOPEDICS / ORTHOATLANTA
  • Facility Address: 3672 MARATHON CIRCLE, SUITE 200
    AUSTELL, GA
    ZIP 30106
  • Facility Phone: 770 944-3303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK S. DUFFIELD
  • NPI Number: 1467594242
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2029511
LAB Type Physician Office
Facility Name PIEDMONT ORTHOPEDICS / ORTHOATLANTA
Street 3672 MARATHON CIRCLE, SUITE 200
City AUSTELL
State GA
ZIP 30106
Phone 770 944-3303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director MARK S. DUFFIELD

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