11D2136957 CLIA NUMBER - PEACHTREE HILLS

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CLIA Record

Field Name Field Value
CLIA Number 11D2136957
LAB Type Physician Office
Facility Name PEACHTREE HILLS
Street 2200 PEACHTREE ROAD, NW
City ATLANTA
State GA
ZIP 30309
Phone 404 778-2245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director FREDRICK E. TURTON

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