11D2157988 CLIA NUMBER - PEACHTREE ALLERGY AND ASTHMA CLINIC, PC

Laboratory Demographics

  • CLIA Code: 11D2157988
  • Facility Name: PEACHTREE ALLERGY AND ASTHMA CLINIC, PC
  • Facility Address: 2675 PACES FERRY ROAD, SUITE 160
    ATLANTA, GA
    ZIP 30339
  • Facility Phone: 404 951-7520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY DWYER
  • NPI Number: 1073408134
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 11D2157988
LAB Type Physician Office
Facility Name PEACHTREE ALLERGY AND ASTHMA CLINIC, PC
Street 2675 PACES FERRY ROAD, SUITE 160
City ATLANTA
State GA
ZIP 30339
Phone 404 951-7520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director AMY DWYER

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