11D2177355 CLIA NUMBER - GASTROENTEROLOGY CONSULTANTS, PC, RESEARCH DEPT

Laboratory Demographics

  • CLIA Code: 11D2177355
  • Facility Name: GASTROENTEROLOGY CONSULTANTS, PC, RESEARCH DEPT
  • Facility Address: 11685 ALPHARETTA HIGHWAY, SUITE 325 ATTN LOIS ANN ROPER, RN CCRC
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 404 596-4480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEREDITH THOMAS RIDDICK
  • NPI Number: 1568546380
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2177355
LAB Type Physician Office
Facility Name GASTROENTEROLOGY CONSULTANTS, PC, RESEARCH DEPT
Street 11685 ALPHARETTA HIGHWAY, SUITE 325 ATTN LOIS ANN ROPER, RN CCRC
City ROSWELL
State GA
ZIP 30076
Phone 404 596-4480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director MEREDITH THOMAS RIDDICK

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