11D2119977 CLIA NUMBER - PEACHTREE IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 11D2119977
  • Facility Name: PEACHTREE IMMEDIATE CARE
  • Facility Address: 3720 HOLCOMB BRIDGE ROAD
    NORCROSS, GA
    ZIP 30092
  • Facility Phone: 770 263-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES YOST
  • NPI Number: 1992132567
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2119977
LAB Type Physician Office
Facility Name PEACHTREE IMMEDIATE CARE
Street 3720 HOLCOMB BRIDGE ROAD
City NORCROSS
State GA
ZIP 30092
Phone 770 263-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director JAMES YOST

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