11D2071753 CLIA NUMBER - ALEXANDER J MERCER, MD, LLC

Laboratory Demographics

  • CLIA Code: 11D2071753
  • Facility Name: ALEXANDER J MERCER, MD, LLC
  • Facility Address: 418 CREEKSTONE RIDGE
    WOODSTOCK, GA
    ZIP 30188
  • Facility Phone: 678 494-8988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER J. MERCER
  • NPI Number: 1821153511
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2071753
LAB Type Physician Office
Facility Name ALEXANDER J MERCER, MD, LLC
Street 418 CREEKSTONE RIDGE
City WOODSTOCK
State GA
ZIP 30188
Phone 678 494-8988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director ALEXANDER J. MERCER

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