11D2075372 CLIA NUMBER - GEORGIA PRENATAL, LLC

Laboratory Demographics

  • CLIA Code: 11D2075372
  • Facility Name: GEORGIA PRENATAL, LLC
  • Facility Address: 950 INDIAN TRAIL ROAD, SUITE 5D
    LILBURN, GA
    ZIP 30047
  • Facility Phone: 470 545-2131
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HUGHAN FREDERICK
  • NPI Number: 1205334620
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2075372
LAB Type Physician Office
Facility Name GEORGIA PRENATAL, LLC
Street 950 INDIAN TRAIL ROAD, SUITE 5D
City LILBURN
State GA
ZIP 30047
Phone 470 545-2131
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director HUGHAN FREDERICK

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