11D2108669 CLIA NUMBER - MILTON MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 11D2108669
  • Facility Name: MILTON MEDICAL GROUP LLC
  • Facility Address: 735 NORTH MAIN ST, SUITE 1100
    ALPHARETTA, GA
    ZIP 30009
  • Facility Phone: 404 932-1054
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAVITHA SHAMA
  • NPI Number: 1043680341
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2108669
LAB Type Physician Office
Facility Name MILTON MEDICAL GROUP LLC
Street 735 NORTH MAIN ST, SUITE 1100
City ALPHARETTA
State GA
ZIP 30009
Phone 404 932-1054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director SAVITHA SHAMA

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