11D2146208 CLIA NUMBER - DB CHANDORA, MD, PC

Laboratory Demographics

  • CLIA Code: 11D2146208
  • Facility Name: DB CHANDORA, MD, PC
  • Facility Address: 362 UPPER RIVERDALE ROAD, SW
    RIVERDALE, GA
    ZIP 30274
  • Facility Phone: 404 550-3248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEN B. CHANDORA
  • NPI Number: 1427484492
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2146208
LAB Type Physician Office
Facility Name DB CHANDORA, MD, PC
Street 362 UPPER RIVERDALE ROAD, SW
City RIVERDALE
State GA
ZIP 30274
Phone 404 550-3248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DEEN B. CHANDORA

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