11D2180882 CLIA NUMBER - SUMNER NEUROLOGY ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 11D2180882
  • Facility Name: SUMNER NEUROLOGY ASSOCIATES, PLLC
  • Facility Address: 1000 JOHNSON FERRY ROAD, BUILDING E, #220
    MARIETTA, GA
    ZIP 30068
  • Facility Phone: (678) 402-1053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAWAID AHSAN
  • NPI Number: 1801926381
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2180882
LAB Type Physician Office
Facility Name SUMNER NEUROLOGY ASSOCIATES, PLLC
Street 1000 JOHNSON FERRY ROAD, BUILDING E, #220
City MARIETTA
State GA
ZIP 30068
Phone 6784021053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2026
Certificate Expiration Date 3/22/2028
Facility Type Physician Office
Lab Director JAWAID AHSAN

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This page was last updated on: 5/18/2026