11D2071532 CLIA NUMBER - GEORGIA PHYSICIAN ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 11D2071532
  • Facility Name: GEORGIA PHYSICIAN ASSOCIATES, PC
  • Facility Address: 2000 VILLAGE PROFESSIONAL DRIVE, STE 200
    CANTON, GA
    ZIP 30114
  • Facility Phone: 678 661-4545
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL B. KOCH
  • NPI Number: 1568890671
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2071532
LAB Type Physician Office
Facility Name GEORGIA PHYSICIAN ASSOCIATES, PC
Street 2000 VILLAGE PROFESSIONAL DRIVE, STE 200
City CANTON
State GA
ZIP 30114
Phone 678 661-4545
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director DR. MICHAEL B. KOCH

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: 9/29/2025