11D2078052 CLIA NUMBER - PARTNER MD

Laboratory Demographics

  • CLIA Code: 11D2078052
  • Facility Name: PARTNER MD
  • Facility Address: 755 MOUNT VERNON HWY NE
    ATLANTA, GA
    ZIP 30328
  • Facility Phone: (404) 851-0029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT NORRIS
  • NPI Number: 1659707602
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2078052
LAB Type Physician Office
Facility Name PARTNER MD
Street 755 MOUNT VERNON HWY NE
City ATLANTA
State GA
ZIP 30328
Phone 4048510029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2026
Certificate Expiration Date 5/20/2028
Facility Type Physician Office
Lab Director DR. ROBERT NORRIS

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This page was last updated on: 5/15/2026