11D2095242 CLIA NUMBER - DULUTH MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2095242
  • Facility Name: DULUTH MEDICAL CENTER
  • Facility Address: 4225 SOUTH LEE STREET
    BUFORD, GA
    ZIP 30518
  • Facility Phone: 770 831-9202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ONELIO E. PERDOMO
  • NPI Number: 1104221514
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2095242
LAB Type Physician Office
Facility Name DULUTH MEDICAL CENTER
Street 4225 SOUTH LEE STREET
City BUFORD
State GA
ZIP 30518
Phone 770 831-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director ONELIO E. PERDOMO

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