11D2051673 CLIA NUMBER - KIMBERLYNN R RICHARDS, MD, PC

Laboratory Demographics

  • CLIA Code: 11D2051673
  • Facility Name: KIMBERLYNN R RICHARDS, MD, PC
  • Facility Address: 3634 HIGHLANDS PRAKWAY, SE
    SMYRNA, GA
    ZIP 30082
  • Facility Phone: 404 272-1724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLYNN R. RICHARDS
  • NPI Number: 1316277858
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2051673
LAB Type Physician Office
Facility Name KIMBERLYNN R RICHARDS, MD, PC
Street 3634 HIGHLANDS PRAKWAY, SE
City SMYRNA
State GA
ZIP 30082
Phone 404 272-1724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Physician Office
Lab Director KIMBERLYNN R. RICHARDS

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