11D2161391 CLIA NUMBER - MICHAEL J MANNING, MD, PC

Laboratory Demographics

  • CLIA Code: 11D2161391
  • Facility Name: MICHAEL J MANNING, MD, PC
  • Facility Address: 2215 EXCHANGE PLACE, SUITE B
    CONYERS, GA
    ZIP 30013
  • Facility Phone: 678 413-7979
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHEAL J. MANNING
  • NPI Number: 1336538974
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 11D2161391
LAB Type Physician Office
Facility Name MICHAEL J MANNING, MD, PC
Street 2215 EXCHANGE PLACE, SUITE B
City CONYERS
State GA
ZIP 30013
Phone 678 413-7979
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director MICHEAL J. MANNING

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