11D2154587 CLIA NUMBER - ATLANTA FUCNTIONAL & INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2154587
  • Facility Name: ATLANTA FUCNTIONAL & INTEGRATIVE MEDICINE
  • Facility Address: 2786 N DECATUR ROAD, SUITE 230
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 404 835-2637
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BINDIYA GANDHI
  • NPI Number: 1962938043
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2154587
LAB Type Physician Office
Facility Name ATLANTA FUCNTIONAL & INTEGRATIVE MEDICINE
Street 2786 N DECATUR ROAD, SUITE 230
City DECATUR
State GA
ZIP 30033
Phone 404 835-2637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director BINDIYA GANDHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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