11D2146210 CLIA NUMBER - PERSONAL CONCIERGE MD, LLC

Laboratory Demographics

  • CLIA Code: 11D2146210
  • Facility Name: PERSONAL CONCIERGE MD, LLC
  • Facility Address: 4300 PACES FERRY ROAD SE, SUITE 500
    ATLANTA, GA
    ZIP 30339
  • Facility Phone: 770 878-1712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON T. HAYES
  • NPI Number: 1275035578
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2146210
LAB Type Physician Office
Facility Name PERSONAL CONCIERGE MD, LLC
Street 4300 PACES FERRY ROAD SE, SUITE 500
City ATLANTA
State GA
ZIP 30339
Phone 770 878-1712
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 JASON T. HAYES

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