11D2157054 CLIA NUMBER - COMPREHENSIVE PRIMARY CARE,LLC

Laboratory Demographics

  • CLIA Code: 11D2157054
  • Facility Name: COMPREHENSIVE PRIMARY CARE,LLC
  • Facility Address: 761 WALTHER ROAD, SUITE 200
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 678 888-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REKHA KESAVAN
  • NPI Number: 1487120820
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2157054
LAB Type Physician Office
Facility Name COMPREHENSIVE PRIMARY CARE,LLC
Street 761 WALTHER ROAD, SUITE 200
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 678 888-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director REKHA KESAVAN

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