11D2107690 CLIA NUMBER - THADDEUS K LYNN, MD PC

Laboratory Demographics

  • CLIA Code: 11D2107690
  • Facility Name: THADDEUS K LYNN, MD PC
  • Facility Address: 8495 DUNWOODY PLACE BLDG 9 STE 100
    ATLANTA, GA
    ZIP 30350
  • Facility Phone: 770 817-8423
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THADDEUS K. LYNN
  • NPI Number: 1114182458
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2107690
LAB Type Physician Office
Facility Name THADDEUS K LYNN, MD PC
Street 8495 DUNWOODY PLACE BLDG 9 STE 100
City ATLANTA
State GA
ZIP 30350
Phone 770 817-8423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director THADDEUS K. LYNN

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