11D2190379 CLIA NUMBER - L&D MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 11D2190379
  • Facility Name: L&D MEDICAL CENTER
  • Facility Address: 5041 DALLAS HIGHWAY, SUITE G
    POWDER SPRINGS, GA
    ZIP 30127
  • Facility Phone: 678 612-9101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS A. COX
  • NPI Number: 1225647274
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2190379
LAB Type Physician Office
Facility Name L&D MEDICAL CENTER
Street 5041 DALLAS HIGHWAY, SUITE G
City POWDER SPRINGS
State GA
ZIP 30127
Phone 678 612-9101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director DOUGLAS A. COX

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