11D2146268 CLIA NUMBER - MICHAEL K LANDERS, DO, PC

Laboratory Demographics

  • CLIA Code: 11D2146268
  • Facility Name: MICHAEL K LANDERS, DO, PC
  • Facility Address: 336 VALLEY ROAD
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: (678) 205-4475
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. LANDERS
  • NPI Number: 1962488080
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2146268
LAB Type Physician Office
Facility Name MICHAEL K LANDERS, DO, PC
Street 336 VALLEY ROAD
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 6782054475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2026
Certificate Expiration Date 3/26/2028
Facility Type Physician Office
Lab Director MICHAEL K. LANDERS

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This page was last updated on: 5/18/2026