11D2071528 CLIA NUMBER - MY DOCTORS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 11D2071528
  • Facility Name: MY DOCTORS CLINIC, LLC
  • Facility Address: 2320 ATLANTA HIGHWAY, SUITE # 105
    CUMMING, GA
    ZIP 30040
  • Facility Phone: (770) 203-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMITA K. GHIA
  • NPI Number: 1497183941
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2071528
LAB Type Physician Office
Facility Name MY DOCTORS CLINIC, LLC
Street 2320 ATLANTA HIGHWAY, SUITE # 105
City CUMMING
State GA
ZIP 30040
Phone 7702031000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2026
Certificate Expiration Date 1/13/2028
Facility Type Physician Office
Lab Director AMITA K. GHIA

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: 5/18/2026