11D2107142 CLIA NUMBER - GEORGIA RETINA, PC

Laboratory Demographics

  • CLIA Code: 11D2107142
  • Facility Name: GEORGIA RETINA, PC
  • Facility Address: 833 CAMPBELL HILL STREET, SUITE 300 ATTN LESLIE MARCUS
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 218-1888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. STOLTZ
  • NPI Number: 1023027430
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2107142
LAB Type Physician Office
Facility Name GEORGIA RETINA, PC
Street 833 CAMPBELL HILL STREET, SUITE 300 ATTN LESLIE MARCUS
City MARIETTA
State GA
ZIP 30060
Phone 770 218-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Physician Office
Lab Director ROBERT A. STOLTZ

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