11D2102592 CLIA NUMBER - DEKALB OB/GYN AFFILIATES

Laboratory Demographics

  • CLIA Code: 11D2102592
  • Facility Name: DEKALB OB/GYN AFFILIATES
  • Facility Address: 4480 N SHALLOWFORD ROAD, SUITE 200
    DUNWOODY, GA
    ZIP 30338
  • Facility Phone: 470 226-1601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIRLEY RIGAUD-ECHOLS
  • NPI Number: 1730564709
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2102592
LAB Type Physician Office
Facility Name DEKALB OB/GYN AFFILIATES
Street 4480 N SHALLOWFORD ROAD, SUITE 200
City DUNWOODY
State GA
ZIP 30338
Phone 470 226-1601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director SHIRLEY RIGAUD-ECHOLS

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