11D2064767 CLIA NUMBER - DIGESTIVE HEALTHCARE OF GEORGIA, PC

Laboratory Demographics

  • CLIA Code: 11D2064767
  • Facility Name: DIGESTIVE HEALTHCARE OF GEORGIA, PC
  • Facility Address: 1665 HIGHWAY 34 EAST
    NEWNAN, GA
    ZIP 30265
  • Facility Phone: 678 326-4812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KIRAN J. KANJI
  • NPI Number: 1225452931
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2064767
LAB Type Physician Office
Facility Name DIGESTIVE HEALTHCARE OF GEORGIA, PC
Street 1665 HIGHWAY 34 EAST
City NEWNAN
State GA
ZIP 30265
Phone 678 326-4812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2023
Certificate Expiration Date 8/26/2025
Facility Type Physician Office
Lab Director DR. KIRAN J. KANJI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025