11D2029512 CLIA NUMBER - PIEDMONT ORTHOPEDICS BY ORTHOATLANTA

Laboratory Demographics

  • CLIA Code: 11D2029512
  • Facility Name: PIEDMONT ORTHOPEDICS BY ORTHOATLANTA
  • Facility Address: 2796 CHAPEL HILL ROAD, SUITE 200
    DOUGLASVILLE, GA
    ZIP 30135
  • Facility Phone: 770 949-8558
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK S. DUFFIELD
  • NPI Number: 1265574610
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2029512
LAB Type Physician Office
Facility Name PIEDMONT ORTHOPEDICS BY ORTHOATLANTA
Street 2796 CHAPEL HILL ROAD, SUITE 200
City DOUGLASVILLE
State GA
ZIP 30135
Phone 770 949-8558
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